Application

Today's Date

School Year Applying For*

Program*

☐ Pre-school: Morning (8:30a-11:30p)

☐ Preschool: Full Day (8:30a-3:00p)

☐ Kindergarten (age 5 by Dec. 31 of attending year)

☐ Grade 1

☐ Grade 2

☐ Grade 3

☐ Grade 4

☐ Grade 5

☐ Grade 6

☐ Grade 7

☐ Grade 8

☐ Grade 9

☐ Grade 10

☐ Grade 11

☐ Grade 12

Grade*

Student Name *

Birthday*

Child Gender*

Address of Student*

Student's Citizenship*

Indigenous Self-Identification (Voluntary)Please indicate if you identify as indigenous. This pertains whether you are status, non-status, living on reserve or off.

Applicant lives with:*

Both parents

Father only

Mother Only

Guardian

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

Do you give permission to Westmont to contact the applicant's current school to discuss her/his progress?*

Yes

No

Has the applicant ever attended a Montessori program?*

Yes

No

Has the applicant had any psycho-educational assessment?*

Yes

No

Has the applicant ever had Learning Assistance of any kind?*

Yes

No

For applicants to our Early Years program, has your child received any Early Intervention therapies or services?*

Yes

No

Learning Assistance DetailsIf you answered yes to Learning Assistance, please explain the nature and duration of this assistance:

Additional InformationIs there any other information about the applicant that you feel the school should know in order to help him/her integrate well into the school (e.g. academic, social, medical)?

Current High School CoursesWhat courses are you enrolled in this academic year?

Reasons for ApplyingWhy do you want to attend the high school program at Westmont Montessori School? In 150 – 250 words please describe why this program is a good fit for you.

Examples of WorkReflect on the work that you have done at school over the past few years. Please pick an assignment or project that you are super proud of. Describe the work and why you are proud of this piece of work.

Tell Us about YourselfIn order to understand if students are the right fit for the program, we want to learn as much as we can about who you are as a person/student. In 150 – 300 words, describe who you are, your passions and interests, what motivates you in and outside of school and what doesn’t? What goals do you have for after high school? What do you want us to know about you?

Name *

Address*

Home Number*

Mobile Number

Work Number

Parent1 Email*

Parent/Guardian 1 Citizenship*

Parent/Guardian 1 Occupation

Name

Address

Home Number

Mobile Number

Work Number

Parent2 Email

Parent/Guardian 2 Citizenship*

Parent/Guardian 2 Occupation

Siblings

How did you hear about Westmont?

Application

Student Information

Education Details

High School Student Questions

Parent / Guardian 1

Parent / Guardian 2

Siblings