Pre-Apply for Liberty Harbor Academy

IF you are interested in securing a placehold for a future application process and interview schedule, please complete this short pre-application to express your intentions. We will place your student’s name on a preferred list when the full application is received. There is no future obligation.

This form can be used for both Liberty Harbor Academy and Liberty Harbor Prep.

Applicant Information
Applicant Name*
FirstLast
Applicant Birth Date
Parent Name
FirstLast
Home Address
Street AddressAddress Line 2CityState / Province / RegionZIP / Postal CodeCountry
Home Phone
Parent Cell Phone
Student Cell Phone
Email*
Current School Information
Grade Entering September 2012
As you have indicated that your child will be entering a traditional grade of less than 9th, we will first recommend Liberty Harbor Prep.
Type of School
Current Grade
School Name
School Address
Street AddressAddress Line 2CityState / Province / RegionZIP / Postal CodeCountry
Where Did You Hear About Us?

Pre-Apply for Liberty Harbor Academy

Applicant Information

Current School Information