Clear Form

Child

☐ M
☐ F
☐ Non Binary/Agender
☐ Other:
☐ Black or African American
☐ American Indian/Alaskan Native
☐ Asian
☐ Native Hawaiian/Pacific Islander
☐ Hispanic/Latino
☐ White
☐ Unknown
☐ Other:

Parent / Guardian 1

Workplace name and address

Parent / Guardian 2

Workplace name and address

Session and Program

School year for which you're applying
☐ 2022-2023 School Year
☐ 2023 - 2024 School Year
☐ Primary (3-6y): Morning (8:00a-12:00p)
☐ Primary (3-6y): Full Day (8:00a-3:00p)
☐ Primary (3-6y): Extended Day (8:00-6:00p)
☐ Mixed Week Primary Program
☐ Toddler (18m-3y): Morning (8:00a-12:00p)
☐ Toddler (18m-3y): Full Day (8:00a-3:00p)
☐ Toddler (18m-3y): Extended Day (8:00-6:00p)
☐ Mixed Week Toddler Program
If applying for the Primary Program, I/we recognize that potty training and toilet independence are required in order to attend CMS

Background information

Please list any other schools/EC programs your child has attended
How did you find out about Clementine Montessori? What were your main factors in your decision to apply?
Are you familiar with the Montessori Philosophy of Education? Have you had experience with the Montessori method?
What was your child's gestational age at birth? If adopted, at what age did your child join the family?
At what age did your child begin to speak? At what age did your child begin to walk?
Does your child have any medical or developmental conditions you'd like to share with the school?
Describe your child's personality. What can you tell us about his/her learning style?
What do you see as your child's greatest strengths? What are they currently working on?
What are your hopes and dreams for your child?
Is there anything else about your child and your family that you would like to share with us?
Tell us about any skills, talents, hobbies, interests you are willing to share with the Clementine community.
Would you like to be a part of the Clementine Parent Association or Board of Trustess?

Non-Discrimination Policy

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