Application - Online Form

After completing and submitting form, please email us at: Atheneum School
or call 907.344.2533 to verify its receipt. Thank you!

Your Name(required)
Age(required)
Birth Date(required)
Sex(required)
Father's Name(required)
Father's Address(required)
Father's E-mail(required)
Father's Home Phone(required)
Father's Work Phone(required)
Mother's Name(required)
Mother's Address(required)
Mother's E-mail(required)
Mother's Home Phone(required)
Mother's Work Phone(required)
Student lives with: (Name)(required)
Student's Address(required)
Student's Phone(required)
Student currently in school? If not why?(required)
Student's current School(required)
Current School Address(required)
Student's Former School (required)
Former School's Address(required)
Former School's Phone Number(required)
Date Withdrawn(required)
Why do you want to attend Atheneum? Please give two or three reasons.(required)
Do you consider yourself an independant worker? Please give examples.(required)
In your own experience, what are the benefits or drawbacks of working cooperatively?(required)
Please write a brief evaluation of your previous education.(required)
Please write a brief essay about a book, idea or experience that has had a strong influence in your life.(required)