Request Information

Let Philips Academy 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

Diagnosis of cognitive or developmental disability, or autism spectrum disorder (low to low-average IQ). No history of significant behavioral or psychological disorders. Ability to work within a small group and to transition between school and community activities with limited staff support. Family network committed to working with the school.

Student Information

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Name of parent:

Student first name:

Student last name:

Student date of birth:

Student is:

Male

Female

Currently in grade:

Seeking entry for grade:

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About the Student

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

Address and Telephone Number

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