IMA, Inc (Birth-3k) Application for Admissions

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All information on this application is kept confidential. Please submit this application and send a non-refundable check for $50 made out to Isthmus Montessori Academy to the following address:

Isthmus Montessori Academy
1802 Pankratz St
Madison, WI 53704

NOTICE OF NONDISCRIMINATION POLICY

Isthmus Montessori Academy does not discriminate on the basis of race, color, gender, religion, disability, sexual orientation, national and/or ethnic origin in the admissions process, it’s educational policies, programs, and activities, tuition assistance, or employment.

Child Information

Child Name *

Birthday*

Child Gender

Parent / Guardian 1 Information

Name *

Address*

Home Number

Mobile Number*

Work Number

Parent 1 Place of Employment

Parent1 Email

Parent / Guardian 2 Information

Name

Address

Home Number

Mobile Number

Work Number

Parent 2 Place of Employment

Parent2 Email

Home Information

Check which applies:

Parents together

Parents separated

Parents divorced

Solo Parent

With whom is the child living?

Who is the legal guardian?

Is the child regularly cared for by anyone other than parents/guardians? If so, who and what portion of the day?

Isthmus Montessori Academy is committed to enroll a community that reflects the diversity of the Madison Area, including that of race, ethnicity, family structure, religion, and socio-economics. The following information is helpful to us, but is optional. All information is kept confidential.

Religion

Ethnic Origin

Race

Primary Language

Other Language(s) Spoken

Program Information

Session*

Preferred Start Date*

Program Level Applying For:*

☐ Nido (2m to 15m and steady walkers): 8am-3pm

☐ Young Children's Community (15m and steady walkers to 2.5-3y): 8am-12pm

☐ Young Children's Community (15m and steady walkers to 2.5-3y): 8am-3pm

☐ Primary (2.5-3y until 4k year): 8am-12pm

☐ Primary (2.5-3y until 4k year): 8am-3pm

Do you anticipate needing before or after school care? This may only be available to certain age groups, depending on enrollment numbers.

Additional Questions

How did you hear about IMA?*

Other Schools attended by applicant:Name, address, Program/Grade, and Dates

Please list other schools to which you are applying for admission.

Please list all other children in the family.Name, birth date, and current school

Please share with us why you are interested in having your child attend IMA. What immediate goals do you have for your child's development - social, emotional, academic?

Your parental perspective helps us get to know your child better. What are your child's strengths and unique characteristics? Please also include any concerns (social, (pre)academic, behavioral, or medical) that may have affected your child's development and/or educational experience thus far.

What specific aspect(s) of the Montessori philosophy are you most drawn to? What aspects to you feel would benefit your child and why? Please include any first-hand experience you've had with Montessori education.

Please describe the most important values by which you and your family live. How do you instill and reinforce these values?

What are your child's and family's special interested and extracurricular activities?

All information on this application is kept confidential. Please submit this application and sent a non-refundable check for $50 made out to Isthmus Montessori Academy to the following address:

Isthmus Montessori Academy
1802 Pankratz St
Madison, WI 53704

Parent who filled out the form: *

Date Submitted:*