Application

Session*

Program*

☐ Primary (3-6y): 5-Day Morning

☐ Primary (3-6y): 5-Day Afternoon

☐ Primary (3-6y): Full Day

☐ Primary (3-3.5y): 3-Day Morning

☐ Primary (3-3.5y): 3-Day Afternoon

☐ I will do either the morning or the afternoon program 5 days a week.

☐ I will do either the morning or afternoon program 3 days a week.

Child

Child Name *

Birthday*

Sex

RaceThis information is requested by the state of Illinois for reporting purposes. It is the policy of the Beverly Montessori School to ensure equal enrollment and employment opportunity without discrimination on the basis of race, color, religion, sexual orientation, national origin, gender identity or expression, age, ability, or marital status. We are committed to providing an inclusive, welcoming environment.

Dominant Language

Parent (Guardian)

Parent 1 Name

Parent 1 Occupation

Parent 1 Address

Home Number

Mobile Number

Work Number

Parent 1 Email

Parent 2 (Guardian)

Parent Name 2

Parent 2 Occupation

Parent 2 Address

Home Number

Mobile Number

Work Number

Parent 2 Email

Marital Status

Who has custody?

Background information

Siblings

How did you hear about us?

Previous SchoolsPlease list every school that your child has attended. (please include daycares). Please tell us about their experiences.

Why Montessori?What attracted to you to the Montessori philosophy? What questions do you have about Montessori?

Tell us about your child. What are their likes, dislikes, special interests/special needs?s)?

Is your child toilet trained?

Yes

Toilet Training Tell us how toilet training is going.

Does your child nap?

Yes

NappingIf yes, how often and how long does your child nap?

Social/emotional developmentHow do you see your child in their social and emotional development?

Parenting -- DisciplineHow do you discipline your child?

SeparationHas your child been in a situation without you? Please list separation experiences and your child's reactions to these.

Health HistoryDoes your child have any allergies/medical conditions?

EducationWhat are you looking for in a school? Why would Beverly Montessori School be a good fit for your family?

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, socio-economic level, gender identity or expression, age, ability, or marital status.

A $50 ($75 after April 1) non-refundable application fee is required with this application. Cash or check only. Please drop or mail the check to the school at 9916 S. Walden Parkway. Your application cannot be processed until fee is received.