Shadow at Mercy Form

Student's Namerequired

First Name

Preferred Name (optional)

Last Name

Current Schoolrequired

Current Graderequired

Mercy's Director of Admissions, Emily McCullough, will reach out to you by phone to gather additional information about your student's transfer request.

Parent/Guardian's Namerequired

First Name

Last Name

Please select your desired month to shadowrequired

Please select your desired date to shadowrequired

Mercy student you would like to shadow:

First Name

Last Name

Parent/Guardian Emailrequired

Confirmation information will be sent to this email address.

Addressrequired

Cityrequired

Staterequired

Zip Coderequired

Parent/Guardian Phone Numberrequired

T-Shirt Sizerequired

Academic level you would like your student to see

Advanced - Independent and fast-paced classroom that focuses on conceptualization and critical thinking skills.

Honors - Rigorous college-prep curriculum that challenges students considering advanced, DC or AP coursework in the future.

Academic - Highly structured classroom that provides the scope and depth of content to meet the learners at a pace that best matches their ability.

Classes your student is interested in seeing:

Clubs/Sports your student would like to learn more about:

Would you like to stay for a campus tour?*Campus tours are for parents and guardians after they drop off their student for a shadow visit.

Yes

No

*Campus tours are for parents and guardians after they drop off their student for a shadow visit.

Mom is an alumna?

Yes

No

Mom's Name (Including Maiden Name)

Graduation Year

Special Needs/Accomodations/Allergies (please list below if applicable)

Additional Comments

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