Culver Academies Inquiry

Thank you for your interest in Culver Academies! Please complete this form in order to receive more information about Culver. When completing this form please:

provide a valid email address that you will check throughout the application process.
include your full mailing address.
accept emails from culver.org if you use spam filtering.

Please don't hesitate to contact the Office of Admissions at admissions@culver.org or (574) 842-7100 if you have any questions.

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Fields marked with an asterisks (*) are required. Due to online privacy restrictions, if you are under the age of 13, an adult must submit this inquiry on your behalf.

Student Contact Information

Student Legal First Name*

Student Middle Name

Student Last Name*

Student Nickname/Preferred First Name

Name Suffix

Gender*

Student Birthdate*

Student Phone Number

Preferred Student Email Address*

(Please list an email address that you check regularly.)

Confirm Email Address*

Race/Ethnicity (may select more than one)

Asian

Black or African American

Caucasian

Hispanic/Latino

Multi-Racial

Native American

Other

Pacific Islander

Citizenship*

Current Grade*

Grade Inquiring For*

Year Applying For*

Would you like to receive information about financial aid?

Yes

Student Mailing Address*

Country

Street

City

Region

Postal Code

Current School Name*

School Code

Parent/Guardian Information

Parent/Guardian 1 Relationship to Student*

Father

Legal Guardian

Mother

Parent

Step-Father

Step-Mother

Does the student reside with this parent/guardian?*

Prefix*

Parent/Guardian First Name*

Parent/Guardian Last Name*

Parent/Guardian Email*

Parent/Guardian Phone*

Do you have a parent that is currently employed by Culver Academies?*

Yes

Parent/Guardian 2 Relationship to Student

Father

Mother

Step-Father

Step-Mother

Legal Guardian

Does the student reside with this parent/guardian?

Prefix

Parent/Guardian 2 First Name

Parent/Guardian 2 Last Name

Parent/Guardian 2 Email

Parent/Guardian 2 Phone

Student Information

Please choose your top selections in each category.

Academic Interests

Computer Science & Engineering

Humanities

Leadership Education

Mathematics

Science

Wellness Education

World Languages & Cultures

Fine Arts Interest

Dance

Music

Theater

Visual Arts

Athletic Interests

Baseball

Basketball

Cheerleading

Crew

Cross Country

Equestrian Sports

Fencing

Football

Golf

Hockey

Lacrosse

Rugby

Sailing

Soccer

Softball

Swimming

Tennis

Track and Field

Volleyball

Wrestling

Is hockey your primary sport?

Yes

How many years have you been playing competitive hockey?

Is lacrosse your primary sport?

Yes

How many years have you been playing competitive lacrosse?

How did you hear about Culver?

Educational Consultant

Admission Counselor

Alumni/Alumnae

Culver Employee

Culver Parents/Families

Culver Summer Camp

Culver Website

Streaming TV Advertisement

Google Advertisement

NUMATS

Reputation

Scholarships

School Fair

Social Media

Sport Programs

Teacher

Other

Do you have a legacy connection to Culver?*

A student is considered a legacy at Culver if either their mother or father, step-mother or step-father, grandfather or grandmother attended Culver Military Academy, Culver Girls Academy, or Culver Summer Schools and Camps.

Do you have a legacy connection to Culver?*

Yes

Please list the names and graduation years of any legacy connections (parents, step-parents, or grandparents) along with their school (Culver Military Academy, Culver Girls Academy, Culver Summer Schools & Camps):

Do you have any siblings that are currently attending or have attended Culver?*

Yes

Please list the names and graduation years of any siblings that have attended along with their school (Culver Military Academy, Culver Girls Academy, Culver Summer Schools & Camps)

Have you attended Culver Summer Schools & Camps?*

Privacy Policy
All the information that you provide to us, or that is provided by others on your behalf, is held in the strictest confidence.

Nondiscrimination Policy
The Culver Academies, operated by The Culver Educational Foundation, admits students of any race, color, national and ethnic 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, national and ethnic origin in administration of its educational policies, admissions policies, scholarship and loan programs, and athletic and other school-administered programs.

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