Request Information

Let The Piedmont 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

Profile of a TPS or JYA Student: * Average to above average cognitive ability/IQ with current psychological/educational evaluations completed (within the last 3 years) * A documented diagnosis of ADHD, language based learning disorder (such as dyslexia, dysgraphia, dyscalculia), central auditory processing disorder, or other specific learning disability * Does not have a history of significant behavioral or emotional disorders

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

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City:

Country:

State:

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

Phone:

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