Request Information

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Thank you for your interest in Starkville Academy! For more information
about our school, please fill out the form below, and our Director of Admissions
and Advancement will contact you.

Lynn Moorehead, Director of Admissions and Advancement
Email: lmoorehead@starkvilleacademy.org
Telephone: 662-323-7814 ext. 169

We look forward to hearing from you and meeting you soon!

STUDENT INFORMATION

FIRST NAME *
LAST NAME *
CHECK ONE * (1 required)
BOY GIRL
DATE OF BIRTH *
TERM OF ENTRY * (1 required)
CURRENT SCHOOL YEAR NEXT SCHOOL YEAR FUTURE SCHOOL YEAR
GRADE *
CONTACT INFORMATION
FIRST NAME *
LAST NAME *
RELATIONSHIP TO CHILD *
ADDRESS *
CITY *
STATE *
ZIP *
COUNTRY *
PHONE *
PLEASE CHECK FOLLOWING AREAS OF INTEREST:
MAIL AN INFORMATION PACKET SCHEDULE A TOUR SHADOW A STUDENT (GRADES 1-12)
Enter Your Email Address: *

REQUEST INFORMATION

We look forward to hearing from you and meeting you soon!

STUDENT INFORMATION

CONTACT INFORMATION