Editing previous response:

Please fix the highlighted areas below before submitting.

New Student Interest Form

To request more information about our school or to come for a tour, please submit the form below.

First and Last Name*

Answer Required

Phone Number*

Answer Required

Email*

Answer Required

I am a...*

Answer Required

Middle School Student

Guardian of a Middle School Student

Middle School Counselor

Other:

I would like to...*

Answer Required

Get more information about PAIHS Monroe

Take a tour of the school

Attend an open house event

Confirmation Email

Email Required