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Get States Get settings Inquiry Request Form - Parent/Guardian Information
Thank you for your interest in MHS! Please complete the form below
and we will mail you an application packet. Click here for a reminder
of our admissions criteria.


If you would prefer to speak directly with an Admissions Counselor,
please call us at our toll-free number, 1-800-322-3248.

Parent/Legal Guardian

* required fields
Title*
First Name*
Last Name*
Address Line 1*
Address Line 2
Address Line 3
City*
State*
Zip*
County
Relationship to child(ren)*
Holds Legal Custody*
Yes
No
Home Phone*    format: xxx-xxx-xxxx
Work Phone    format: xxx-xxx-xxxx
Email Address
How did you hear about Milton Hershey School?
Number of Applicants*
 
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1-800-322-3248