Admissions Interview Form
Name(s) and age(s) of the prospective student(s)_______________________________________
____________________________________________________________________________
Name(s) and address(es) of adults accompanying interviewee: (As
a matter of policy, we require
both parents or guardians who live in the immediate area, to attend the
interview.)
Name:_______________________________________________________________________
Address:_____________________________________________________________________
____________________________________________________________________________
City:______________________________ State:_____________________________________
Zip Code:_________________________ Telephone:__________________________________
Telephone during daytime:_______________________________________________________
Email address:_______________________________________________________
Name:_______________________________________________________________________
Address:_____________________________________________________________________
____________________________________________________________________________
City:______________________________ State:______________________________________
Zip Code:_________________________ Telephone:___________________________________
Telephone during daytime:________________________________________________________
Email address:_______________________________________________________
How did you hear about Diablo Valley School?________________________________________
Please complete this form and submit during your interview with a non-refundable $15.00 fee to Diablo Valley School.
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[for office use only]
Date and time of interview:_______________________________________________________
Fee Paid: ( ) Date:_____________________ Interviewed by:____________________________
Comments:__________________________________________________________________