Application

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Applicant Information
Applicant's full legal name*
First Middle Last
Preferred first name or nickname
With what gender do you most closely identify*
Other Gender
Please note a gender by which you prefer to identify
Date of birth*
Citizenship*
Applicant Cell Phone
Skype Contact
WeChat Information
WhatsApp Information
Applicant Email*
Current Grade
I intend to enroll as of:
Apply for grade*
What academic year are you applying for?*
How did you hear about Wasatch Academy?*
To which other schools will you apply? (please separate multiple entries with commas)
Present School
Name of present school:
Present school address
City (present school)
State/Province (present school)
Zip (present school)
Phone (present school)
Previous Schools Attended (please include name and year)

Parent/Guardian Information
Primary Household
Street Address*
City*
State / Province / Region
Zip / Postal Code*
Country*
Home Telephone
Does the candidate live with all parent/legal guardians in one household?
- Yes
- No
If no, please describe the custody arrangement
Candidate lives with: (Check all that apply)
- Father
- Mother
- Stepfather
- Stepmother
- Other
If other, please explain:
Primary Parent/Guardian
Information for at least one parent/guardian is required.
Primary Parent's Name*
First Last
Relationship (primary parent)
Cell Phone (primary parent)*
Company/Employer Name (primary parent)
Occupation (primary parent)
Title (primary parent)
Preferred Email (primary parent)*
Additional Parent/Guardian
Additional Parent's Name
First Last
Relationship (additional parent)
Cell Phone (additional parent)
Company/Employer name (additional parent)
Occupation (additional parent)
Title (additional parent)
Preferred Email (additional parent)

Candidate's Questionaire (student should fill out this portion of the application)
How would your best friends describe you? List five words.
What, if anything, keeps you from being the best student and citizen you could be? Is it your friends, your school environment, your own distractions or weaknesses, or something else? Please explain your answer.*
What is your favorite academic subject?*
What is your favorite extracurricular activity?*
Sell yourself! Why would you be an asset to the Wasatch Academy community?*
What would you like to be different about your school or your experience there?
What are your greatest strengths?*
What are your greatest weaknesses?*
If you could choose three colleges to attend, what would they be and why?
Short Essay
Please tell us about a challenging experience you had, how you overcame it, what help you received from other sources, and what did you learn from the experience? How has this experience affected choices you have made in your life since then?*

Parent's Questionaire (parent should fill out this portion of the application)
In what ways do you expect the candidate will benefit from a Wasatch Academy education?*
What are the candidate’s greatest strengths/talents?*
What is your greatest concern for the candidate?*
In what ways do you expect the candidate will contribute to Wasatch Academy?
Does your student have any special needs which Wasatch Academy should be aware of?
Has the candidate ever been dismissed or withdrawn from school for any reason? If so, please explain.

International students only: Please email a copy of your passport to: admissions@wasatchacademy.org

Applicant Information