Student's name

Student's date of birth

Student's gender

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  • Male
  • Female
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Parent/Guardian's name

Parent/Guardian's phone

Parent/Guardian's e-mail address

Student's address

Student's grade level (for intended year of application)

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  • Kindergarten
  • First Grade
  • Second Grade
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Please list any schools your student has previously attended

Please share a bit about your child. What are his/her interests, hobbies, passions and strengths? What are some difficulties he/she has faced?

Are there areas in which you believe your child to be gifted/developmentally advanced? Please select only if you believe your child is functioning at an exceptional level in any of the areas listed below.

Please explain your reasoning below.

Are there areas in which you believe your child experiences greater than normal challenges? Please select only if you believe your child is functioning noticeably below average in any of the areas listed below.

Please explain your reasoning below.

What type of learning style or environment does your child thrive in?

How does our teaching philosophy align with your own? Are there any aspects of our philosophy with which you disagree?

Has your child had any cognitive or behavioral testing completed? If so, please provide a copy of the reports.

Attach copy of related testing documents here.

Has your child ever been verbally or physically aggressive with another child or teacher in a school setting? If so, please describe the situation and when it occurred.

For students without cognitive or behavioral testing, are you willing for your child to complete some brief skills testing if necessary?

Each applicant requires one reference from a current teacher or unrelated adult who knows the child well. The Reference form may be found on our Admissions page. Please provide the name and contact information (e-mail or phone number) of the reference for your child here.