Student Information
First Name
*
Last Name
*
Grade Applying
select
Toddler
Preschool
Transitional Kindergarten
K
1
2
3
4
5
Household Information
Parent/Guardian 1
Relationship
*
select
Father
Mother
Stepfather
Stepmother
Guardian
Grandparent
First Name
*
Last Name
*
E-Mail Address
*
Cell Phone
Parent/Guardian 2
Relationship
select
Father
Mother
Stepfather
Stepmother
Guardian
Grandparent
First Name
Last Name
E-Mail Address
Cell Phone
How did you find out about Mills College Children's School at Northeastern University?
Source
select
Other
School Website
Internet Search
Word of Mouth
Parent Referral
Berkeley Parents Network
Alameda Parents Network
EBISA website
Savvy Source
Great Schools
Parents Press
Bay Area Parent
Bus/BART ad
Facebook/Twitter
Yelp
Other advertising
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