student application form

Start Date Requesting:

Child’s Age at Start Date:

Preferred Program:
full daymorningafternoon

Child’s Full Name:

Birthdate:

Name Child Would Like to be Called:

Gender
MFOther

Parent/Guardian A Full Name:

Home Address:

Telephone: (mobile)

Telephone: (work)

Occupation:

Email:

Parent/Guardian B Full Name:

Home Address:

 
Same as Parent A

Telephone: (mobile)

Telephone: (work)

Occupation:

Email:

Other children in the family: (Name/Age/Schools Attended)

Applicant lives with:
Co-ParentsParent AParent BOther

Child’s Ethnic Identity (optional)

please check all that apply:

African-AmericanAsian-AmericanLatin-AmericanCaucasianMulti-EthnicOther (please specify)

How did you hear about the nest?

Describe your child’s previous childcare/educational experiences since birth (including other programs attended):

What is your experience, if any, with Montessori education?

How would you describe your child’s personality and/or learning style?

How does your family enjoy spending time together?

How would you characterize your child’s temperament?

What is your greatest delight with your child?

What is your greatest challenge with your child?

In what areas would you like to see your child’s potential more fully developed?

What are your child’s favorite ways to socialize (e.g., large group, one-on-one, prefers grownups, prefers children, loud atmosphere, quiet atmosphere)?

Is there anything you’d like to share about your child that we have not asked?