New Student Application

Child's Information

Please fill out one form for each child applying to the school. There is a $100 non-refundable application fee for each application submitted.

School Year:*

Program Desired*

Desired Start Date:*

Daily Schedule Desired:*Note: After Care is NOT being offered for Casita

Child

Child Name *

Birthday*

Child Gender*

Parent 1

Name *

Relationship To Child:*

Address

Home Number

Cell Number*

Work Number

Email1*

Parent 2

Name

Relationship to Child:

Address

Home Number

Cell Number

Work Number

Email2

Background Information

Does the applicant have any other relatives who currently attend, have attended or have graduated from our school?*

Yes

How did you hear about us?*

Previous Schools*Please list every school that your child has attended.

Educational Goals*What are your educational goals for your child?

Educational Experience*Please describe your child's educational experience thus far. What has been successful? What has been challenging?

Special Needs*Does your child have any special needs (educational, medical, or psychological)?

Testing or Evaluations*Has your child received any testing or evaluations that would relate to their academic or social performance? If so, what recommendations were made?

Immunizations*Texas law requires us to collect current immunization records or a notarized immunization exemption form for each child in our care. Which will you be providing for your child?

Immunization Records

Immunization Exemption Form

Both

Tuition Assistance*Will you be applying for tuition assistance?

Yes

Non-Discrimination Policy

Community Montessori School admits students of any race, color, national and ethnic origin to all rights, privileges, programs and activities made available to students at our school. We do not discriminate on the basis of race, color, national or ethnic origin, or gender identity in the administration of school policies, including admissions, financial assistance, and other school-administered programs. We oppose discrimination and consciously recognize the value of diversity in our hiring practices, professional conduct, community and classroom activities.

Signature

The electronic signatures below and their related fields are treated by Community Montessori School like a physical handwritten signature on a paper form.

Agreement*My signature below affirms that all of the information contained in this application is correct, complete, and honestly presented. I understand that withholding or misrepresenting information in this application may jeopardize my child's admission.

Today's Date*