Pulaski Academy Pre-Shadow and Interview Day Survey

Thank you for your interest in having your student on campus to shadow and interview at PA!

Please take a few minutes to complete our Pre-Shadow and Interview Day Form. This form is REQUIRED BEFORE we can schedule the day. Collecting this information will help us provide an excellent experience for your student during their visit.

***if you have not already, please forward copies of your student(s) transcripts and report cards (for the past three years) to the admissions office prior to scheduling the shadow/interview day. You can email those to matt.pulley@pulaskiacademy.org

Parent Information

First name*

Last name*

Postal Code*

Street address

City

State/Region/Country

Email*

Phone number*

School Year Applying For/Interested In*

If considering or making a school change, tell us a little about what has led you to this decision.*

Please select several options for days your child/children could shadow and interview at Pulaski Academy.

Shadow and Interview Day 1

Month/Day/Year

Shadow and Interview Day 2

Month/Day/Year

Shadow and Interview Day 3

Month/Day/Year

Student Information

Prospective Student 1

STUDENT NAME (Student 1)*

Student 1 Current Grade*

Grade Interested In (Student 1)*

Current Daycare/School (Student 1)*

Gender (Student 1)*

Student 1: Has the student ever been dismissed from a school for academic reasons? If so, please explain.*

Student 1: Has the student ever been dismissed from a school for behavior/discipline reasons? If so please explain.*

Student 1: Are there any behavior/discipline concerns Pulaski Academy should be aware of?*

Please list your child's TOP 4 favorite classes they would like to visit while at PA (Student 1).*

Student 1: Is there a PA student your child would like to shadow with (PA Student Name)?

Student 1: Are there any areas of the campus or classes your child would like to visit while shadowing?

Prospective Student 2

STUDENT NAME (Student 2)

Student 2 Current Grade

Grade Interested In (Student 2)

Current Daycare/School (Student 2)

Gender (Student 2)

Student 2: Has the student ever been dismissed from a school for academic reasons? If so, please explain.

Student 2: Has the student ever been dismissed from a school for behavior/discipline reasons? If so please explain.

Student 2: Are there any behavior/discipline concerns Pulaski Academy should be aware of?

Please list your child's TOP 4 favorite classes they would like to visit while at PA (Student 2)

Student 2: Is there a PA student your child would like to shadow with (PA Student Name)?

Student 2: Are there any areas of the campus or classes your child would like to visit while shadowing?

Prospective Student 3

STUDENT NAME (Student 3)

Student 3 Current Grade

Grade Interested In (Student 3)

Current Daycare/School (Student 3)

Gender (Student 3)

Student 3: Has the student ever been dismissed from a school for academic reasons? If so, please explain.

Student 3: Has the student ever been dismissed from a school for behavior/discipline reasons? If so please explain.

Student 3: Are there any behavior/discipline concerns Pulaski Academy should be aware of?

Please list your child's TOP 4 favorite classes they would like to visit while at PA (Student 3)

Student 3: Is there a PA student your child would like to shadow with (PA Student Name)?

Student 3: Are there any areas of the campus or classes your child would like to visit while shadowing?