Harmony School Online Application
for International Students

Please fill out the following form and then click the "submit" button at the bottom of the page. In our efforts to be in touch with you, we may ask for more information. Please give us the most reliable contact information you possibly can. Thank you very much for your interest in Harmony School.

This application will be added to our wait list. Generally, interviews take place in late spring and early summer. If there is an opening in the applicant’s grade, you will be called for an interview.

All fields require an entry to submit the form. If a field does not apply or you do not have the information, please enter, "n/a" or some other character to let us know that you have reviewed that question.

Please enter your email address (valid email required):
Student's Family Name:
Student's Given Name:
Date of Birth:
Place of Birth:
Gender	Male Female
Parent #1
Home Address
City
State
Postal Code
Country
Home Phone
Email Address
Workplace
Occupation
Work Phone
Cell Phone
Hobbies/Interests
Parent #2
Home Address
City
State
Postal Code
Country
Home Phone
Email Address
Workplace
Occupation
Work Phone
Cell Phone
Hobbies/Interests
Names and ages of student's siblings:
Applicant's current school?
What grade will the applicant be entering in the upcoming school year?
How many years will the student study at Harmony School?
Do you know anyone associated with Harmony School?	Yes No
If so, who do you know?
Why does the student want to attend Harmony?
Please describe student's fluency in English
What special interests or abilities does the student have that the student could share with the community?
If living in Bloomington, we ask families to participate in Harmony School's Parental Involvement Program (PIP). Families are required to complete 45 hours of volunteer work for the School. What skills could the parents share with the community?
Where will the student live while attending Harmony School?
Other Comments
Bloomington Contact
Email Address
Address
City
State
Zip Code
Home Phone
Cell Phone
Work Phone
Fee for international students is $15,000 per year. Do you agree to this fee?	yes no

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Harmony Education Center
909 East 2nd Street, Bloomington, IN 47401
ph: 812/334.8349   fax: 812/333.3435
Comments? webmaster@harmonyschool.org
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