SMMS Application

Child

Child Name

Birthday

Child Gender

Dominant Language*

Address*

School District your family resides in

Session*

Program*

☐ Toddler Community (18-36months): School day (8:30a-11:30p)

☐ Children's House (3-6y): School Day (8:15a-2:45p)

☐ Children's House (3-4y): Half Day (8:15a-11:45p)

☐ Elementary (Grades 1-6): School Day (8:15a-2:45p)

☐ Elementary Homeschool 2 Days a week (Grades 1-6): School Day (8:15a-2:45p)

Before and After School

For Children's House and Elementary Programs

Early Morning 7:30am-8:15am

Late Day 2:45pm-4:30pm

Extended Day 2:45-5:30pm

Home School Class Program Only

Please select the 2 day option you are interested in applying for:

Monday and Tuesday

Wednesday and Thursday

Parent / Guardian 1

Name *

Address

Mobile Number*

Work Number*

Parent1 Email*

Parent / Guardian 2

Name

Address

Mobile Number

Work Number

Parent2 Email

Parents/Guardians

With whom is the child living?*

Who is the legal guardian?*

Background information

Siblings

How did you hear about us?*

Previous Schools*

Please list every school, elementary and preschool, that your child has attended

In order that we may prepare an environment that will meet the individual needs of your child please supply the following information:

Does your child have any: disabilities, allergies, dietary restrictions, medical requirements? Please Describe*

Parental Interest*

Why are you interested in having your child attend Sprouting Minds Montessori School?

Parental Expectations*

What are your expectations of your child's education at SMMS?

Child's Strengths*

Please list your child's strengths, interests and talents.

Development*

Please describe your child's physical, cognitive and social development. Include your child's particular strengths and weaknesses and any health conditions or experiences that would affect their experience at SMMS.

Outside of School*

Please list any organized groups or special classes your child takes outside of school.

Discipline Challenges*

Has your child ever experienced discipline challenges, including suspension or expulsion, in an educational setting? If so please explain.

Child Assessments*

Are there any assessments, reports or documentation we should know about? If so please explain.

Family*

Please tell us about your families community interests and activities.

Parental Involvement*

In what ways would you be interested in participating or sharing your interest/talents/resources at SMMS?

Previous Montessori Experience*

Have any family members attended a Montessori School? Please list who, where and when.

SMMS Family*

Does your child/family know anyone at SMMS?

How long do you expect to keep your child enrolled at SMMS?*

Check all that Apply

Toddler Community (6-36months)

Children's House (3-6 years old) preschool-kindergarten

Lower Elementary (6-9 years old) Grades 1-3

Upper Elementary (9-12 years old) Grades 4-6

Non-Discrimination Policy

We value diversity among our students. We do not discriminate in our enrollment policies on the basis of race, color, gender, religion, sexual orientation, national or ethnic origin.

Application Agreement*

The information we have provided on this application is truthful, accurate, and complete. We understand that withholding information or providing inaccurate information about our child may jeopardize his/her application and if enrolled may result in his/her dismissal from school.

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