The Wight Foundation

Please note, the maximum allowable combined family income is $250,000/year.

Student Information

Name

First

Middle

Last

Suffix

Preferred Name

Gender

Family's Preferred Language

Please Specify

Birth Date

mm/dd/yyyy

Student's Email

Current School

If Other, please provide the full name of your school:

City

*Applicants must be current residents of New Jersey in order to apply.

State

Current Grade

Applying For Grade

This program is only open to current 7th grade students who are current residents of New Jersey. We thank you for your interest, but cannot accept an application at this time. Please call our office at 973-824-1195 to speak to our Recruitment Team for any questions you may have.

for the Fall of

Primary Contact Parent and Guardian Information

Relationship to Student

Name

Title

First

Last

Suffix

Preferred Name

Mailing Address

Phone

Type

Number

Alternate Phone

Type

Number

Parent/Guardian Email

Completed By:

Please Specify

By submitting the Inquiry Form you consent to receiving text messages and emails from The Wight Foundation regarding your application status and upcoming events. Message frequency varies. Text HELP for help, Text STOP to cancel.