Loomis Chaffee Inquiry Form

Thank you for your interest in Loomis Chaffee. Please take a moment to tell us more about yourself by filling out the inquiry below. Required information is marked with an asterisk (*).

About You

Please click here to provide more information about yourself and to be added to our email list.

What CBO is this student working with?

Consultant First Name

Consultant Last Name

Consultant Email

Student Demographic Information

Student's Legal First Name

Middle Name

Last Name

Suffix

Student's Chosen Name

Date of Birth

Gender

Additional gender information

Pronouns

Mailing Address

Country

Street

City

Region

Postal Code

Primary Email Address

Please verify the accuracy of this email address and make sure it is checked regularly.

Are you Hispanic/Latino?

Yes

No

Current School Information

School Name

If your school does not appear, click here to provide additional information so we can add it to our database.

Mailing Address

Country

Street

City

Region

Postal Code

Current Grade

Enrollment Information

School Year Applying For

Boarding or Day

Boarding

Day

Undecided

Grade Applying For

Are you interested in financial aid?

Yes

No

Undecided

Have you previously applied to Loomis Chaffee?

Primary Parent/Guardian Information

Parent/Guardian 1

First Name

Last Name

Preferred Name

Email

Relationship to Student

If this parent attended Loomis Chaffee, enter the class year.

Parent/Guardian 2

First Name

Last Name

Preferred Name

Email

Relationship to Student

If this parent attended Loomis Chaffee, enter the class year.

Do you have any other family connections to Loomis Chaffee?

Yes

No

DeleteFamily Connection _ID_
First Name Last Name Relationship to Student Explain the connection. LC Class Year School Name

Additional Connection

Student Interests

Add interests from the categories below. Provide additional information if desired so we can better tailor the admission process just for you!

DeleteInterest _ID_
Type Academic Interest Student Activities Dance Interest Music Interest Theater Interest Visual Arts Interest Please tell us more about your interest and experience. Provide up to 3 web-based links to public videos and/or portfolios. Please do not submit links to iCloud or Google Drives.

Add Academic & Co-Curricular Interest

DeleteAthletic Interest _ID_
Sport Position(s) if applicable In the space provided, please tell us about your current school and/or club team(s) and your experiences with each. Share your accomplishments, awards, and statistics in this sport. School Coach's Name School Coach's Email Club Coach's Name Club Coach's Email Provide up to 3 web-based links to public highlight videos. Please do not submit links to iCloud or Google Drives.

Add Athletic Interest

Additional Information