Request Information

Let Lafayette School know that you are interested in learning about their school. Provide your information below to request this school's viewbook and application. Your request will typically be processed within 24 hours. If you have more specific questions for this school, please use our Email Schools form instead.

Notes for Prospective Students

Admission criteria must include one of the following: Psychiatric Illness or Emotional Disability - Such as depression or anxiety, that is interfering with the student's ability to perform in some aspect of their life, including at home, in school, and in the community. Dangerous Behavior Towards Self or Others - Including loss of control, aggression, suicidal thoughts, drug or alcohol abuse, or other self-destructive behaviors. Altered Mental Status- impaired reality testing, illogical or distorted thought processing, psychotic features. Unsuccessful in Previous Less Restrictive Environment- Outpatient therapy or home-based service, loss of previous placement, or severity of symptoms such that outpatient therapy alone would be inadequate. Symptoms of Behavior Disorders- Including attention deficit, oppositional defiant disorder, poor social skills, poor anger management, school avoidance, or impaired judgment and impulse control. Severe Psychosocial Stressors or Trauma

Student Information

Email:

Name of parent:

Student first name:

Student last name:

Student date of birth:

Student is:

Male

Female

Currently in grade:

Seeking entry for grade:

Target start date:

About the Student

Please briefly describe academic, athletic, and extracurricular interests of the student:

Address and Telephone Number

Home address:

City:

Country:

State:

Zip: (enter "N/A" if not applicable)

Phone:

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