WIXLIB

UPPER SCHOOLApplication for Admission80 Gerry’s Landing Road, Cambridge, MA 02138phone: cations

upper school application for admissionKey Dates & DeadlinesDue January 16(To be completed by a parent or guardian)Buckingham Browne & Nichols School80 Gerry’s Landing RoadCambridge, MA 02138-5512phone: 617-800-2136If sending FedEx or UPS:46 Belmont StreetWatertown, MA 02472fax: ion Dates & DeadlinesOpen HouseNovember 1, 9 am – noonInterview and TourJanuary 16ApplicationJanuary 16Admission decision letters mailedMarch 10Parents’ reply date for acceptanceof Enrollment ContractsApril 10Financial Aid DeadlinesFinancial Aid application completed and submitted tothe School and Student Service for Financial Aid (SSS)January 30Copy of 2013 Federal Income Tax return (IRS 1040) andall attached schedules sent to SSSJanuary 30Copy of 2014 Federal Income Tax return (IRS 1040) andall attached schedules sent to SSSFebruary 27Financial Aid decision letters mailedMarch 10Parents’ reply date for acceptance of financialaid awardsApril 10Please call our Admission Office at 617-800-2136 if you have any questions or if we can be of further assistance.Thank you for your interest in BB&N.Buckingham Browne & Nichols School admits students of any race, color, religion, gender, sexual orientation or national andethnic origin to all the rights, privileges, programs and activities generally accorded or made available to students at the School.It does not discriminate on the basis of race, color, religion, gender, sexual orientation or national and ethnic origin in the administration of its educational policies, admission policies, financial aid policies, or athletic and other School-administered programs.1 Key Dates & Deadlines

upper school application for admissionInstructionsDue January 16Buckingham Browne & Nichols School80 Gerry’s Landing RoadCambridge, MA 02138-5512phone: 617-800-2136If sending FedEx or UPS:46 Belmont StreetWatertown, MA 02472fax: 617-547-7696usadmission@bbns.orgwww.bbns.orgDear Applicant and Family,We are pleased that you are interested in Buckingham Browne & Nichols School and look forward to working closely with youthroughout the admission process. Enclosed are the forms and information necessary to complete an application to BB&N, aswell as additional important information. If you have any questions, please contact the Admission Office.We encourage you to submit each part of the application as it is completed. The entire application, including yourscores on the SSAT or the ISEE, must be received in the Admission Office by January 16. We strongly prefer not to receiveparts of applications by fax, except from international applicants. Please note that an online application is available on theadmission section of our website. We will accept late applications, but preference will be given to those completed by January 16.Please encourage your school administrator and teachers to return their forms to BB&N as soon as possible. Our Admission Committee meets throughout February, and our admission decisions will be mailed on March 10.We look forward to receiving the completed application and getting to know you and your child through the admission process.Please call or write if you have questions.Sincerely,George L. Mitchell, Jr.Director of Enrollment ManagementMatthew S. McDonaldAssociate Director, Upper School AdmissionApplication Process Checklist: Submit the Biographical Information (to be completed by the applicant or parent/guardian) and Student Questionnaire(to be completed by the applicant) along with the non-refundable application fee of 50.00 ( 100.00 for internationalapplicants) as soon as possible and no later than January 16.Fee waivers are granted in some instances. A letter from a school official, member of the clergy, or similar individual, attesting to the financial circumstances of your family, should be sent to the Admission Office to request such a waiver. Include a recent photograph of your child with the application. This is optional, but will help us to remember your childwhen we are reading folders. Give the Administrator Report, Information Release Form, and Math and English Evaluation forms to the appropriatepeople at your child’s school for completion. The Math and English Evaluations should be completed by the applicant’s current teachers. Please note that we require records of study and testing for the past two years as well as for this year. Give the Optional Recommendation to an adult who has worked with your child in an activity or special interest outsidethe classroom — music, drama, visual arts, sports, religious activities, paid or volunteer work, etc. Schedule a campus tour and interview. This can be arranged by contacting the Upper School at 617-800-2136. Sign up for either the Secondary School Admission Test (SSAT) or the Independent School Entrance Examination (ISEE). Testresults should be received by January 16. Information can be found at www.ssat.org or www.iseetest.org.2 Instructions

upper school application for admissionBiographical InformationDue January 16Buckingham Browne & Nichols School80 Gerry’s Landing RoadCambridge, MA 02138-5512(To be completed by a parent or guardian)phone: 617-800-2136If sending FedEx or UPS:46 Belmont StreetWatertown, MA 02472fax: ant’s nameFirstMiddle Male FemaleLastUsually calledApplicant’s date of birthCitizenshipHome addressPhoneApplicant’s email addressApplicant’s schoolPhoneSchool addressPresent Grade      Applying for Gradefor September 20Other schools attended in the last three years: (name, address, dates attended)Parent’s/Guardian’s name Mr. Mrs. Ms. Dr. OtherAddressHome Phone �       Cell PhoneWork Phone �        Email AddressWork (name of employer and position held, or school attending)Parent’s/Guardian’s name Mr. Mrs. Ms. Dr. OtherAddressHome Phone �       Cell PhoneWork Phone �        Email AddressWork (name of employer and position held, or school attending)3 Biogr aphical Information

If applicable, stepparent(s) name(s) Spouse’s name Spouse’s nameTo whom should Admission Office correspondence be sent?Other members of the household:(Give name/age/school of siblings. Please star the name(s) of any applying for admission to BB&N.)List any relatives who attend or have attended BB&N, and state relationship:Is a language other than English spoken at home?Is your child bilingual? Yes No If yes, what language? Yes NoName(s) and address(es) of the person(s) who will pay school bills:Please check here if you would like to receive financial aid information: Optional Information: (This information helps us to complete state and federal statistical surveys and to better understand ourapplication patterns regarding diversity.)Self-identified race/ethnicityOptions: African American/Black, Asian, Caucasian, European/White, Latino/Hispanic, Middle Eastern, Multiracial, Native AmericanThe undersigned agrees that the information furnished on the application and related forms will be completely confidential, andwill not be disclosed to anyone beyond the Admission Committee and other appropriate school personnel, except at the Directorof Enrollment Management’s discretion.Parent’s/Guardian’s signatureDateSubmit a 50.00 application fee with this application. The application fee for international students is 100.00.Checks or money orders should be made payable to Buckingham Browne & Nichols School.4 Biogr aphical Information

upper school application for admissionParent StatementDue January 16Buckingham Browne & Nichols School80 Gerry’s Landing RoadCambridge, MA 02138-5512(To be completed by a parent or guardian)phone: 617-800-2136If sending FedEx or UPS:46 Belmont StreetWatertown, MA 02472fax: ant’s name ��   Applying for GradeFirstMiddleLastPlease answer the following questions. If you feel that further information about your child would be helpful toour Admission Committee, including any unusual circumstances that may affect your child’s academic or socialperformance, please include as a separate attachment.1. How would you characterize your child — traits, personality, maturity, sense of self, strengths, areas of challenge, etc.?5 Parent Statement

2. Why do you think BB&N would be a good match for your child and your family?3. How would you describe your child’s school experience to date?6 Parent Statement

upper school application for admissionStudent QuestionnaireDue January 16Buckingham Browne & Nichols School80 Gerry’s Landing RoadCambridge, MA 02138-5512(To be completed by applicant)phone: 617-800-2136If sending FedEx or UPS:46 Belmont StreetWatertown, MA 02472fax: ant’s name ��   Applying for GradeFirstMiddleLast1. What makes you the interesting person that you are? (Be sure to include the qualities you like best about yourself.)2. Tell us why you are interested in attending BB&N and why you believe it is a good fit for you.7 Student Questionnaire

3. Tell us about a time when something did not work out the way you wanted and how you handled it. Were there things youcould have done differently to change the outcome?8 Student Questionnaire

4. Please write, using your own words, a well-developed essay on the topic below. You may type or write by hand. Please limit your essay to 350 words or less.BB&N values a diverse and inclusive community that fosters respect for the identities and perspectives of all its members. Pleaseshare a meaningful experience you have had as a member of a community. What made it meaningful, and what did you learnabout the importance of community from that experience?9 Student Questionnaire

Extracurricular, Personal, and Volunteer ActivitiesIn the grid below, please note your interests and activities in order of importance to you in areas such as music, drama, art, communityservice, debate, writing, athletics, employment, or hobbies. We understand that some candidates have more opportunities for organized activities than others, but we are interested in how you spend your time outside of the classroom.ActivityYears ofExperienceHoursperweekLevel of involvement(such as first chair, junior varsity,travel team)Positions held:awards, honors, leadershipWill youcontinuethis activity?If you have additional activities, please use the space below.Applicant’s signature �       DateThank you for taking the time to respond to these questions. We look forward to getting to know you through your own words andideas. Please mail this form by January 16 to: Upper School Admission Office, Buckingham Browne & Nichols School, 80 Gerry’sLanding Road, Cambridge, MA 02138-5512.10 Student Questionnaire