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☐ 2020-21
☐ 2021 Summer
☐ 2021-2022
☐ Parent-Infant
☐ Young Child
☐ Children's House
☐ Elementary
☐ Children's House 2 /12- 4 Year Olds
☐ Children's House 5-6 Year Olds
☐ 1st
☐ 2nd
☐ 3rd
☐ 4th
☐ 5th
☐ 6th
Please choose the desired days/times/level for the program you desire
Please check all that apply

If yes, please visit our website to access our financial aid application. The last day to apply for financial aid for the 2020-2021 school year is February 7, 2020.

Student Information

☐ Male
☐ Female
☐ Non-binary
☐ Unknown

Parent / Guardian 1

Parent / Guardian 2

Additional Information

Please provide copies of testing results

Has your child ever been tested, either by current or past school, or private institution, for any type of learning or behavior issue?
If so, please indicate which year testing was complete
Does your child have a current IEP?
Please check all that apply

Records Release

Please print and sign a School Records Release Form and take it to your child’s Teacher and/or Principal. To guarantee consideration, please request that this form is sent from your child’s current school directly to Lakisha Wingard, Director of Admissions, Hershey Montessori School, 10229 Prouty Road, Concord Twp., Ohio 44077.

Application Terms

  • A non-refundable $75 application fee is required at the time of submission.
  • Make checks payable to Hershey Montessori School and remit to the Admissions office at 10229 Prouty Road, Concord Twp., OH 44077.
  • Please complete one application for each child.
  • With this application, this child will be placed in the Waiting Pool, awaiting placement once a space becomes available.
  • The child’s placement in a class will be at the sole discretion of the school based on the pedagogical criterion.
  • Hershey Montessori School does not discriminate on the basis of gender, race, creed, ethnic or national, origin, religion, disability, age, or sexual orientation in its admission policy, financial aid program, or other educational policies.

Admissions Office Contact Information

Address 10229 Prouty Road, Concord Township OH 44077
Phone 440-357-0918
Fax 440-357-9096
Email admissions@hershey-montessori.org
Website www.hershey-montessori.org

For Office Use Only

Application Fee Received $
Date Received
Check Number
Observation
Parent Interview
Child Visit