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Council Oak Application Form
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WHERE DID YOU HEAR ABOUT US?
NAME OF CHILD
*
BIRTHDATE
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Day
Year
AGE
CHILDREN'S HOUSE:
3- 6 (1/2 Day)
3- 6(Full Day)
3- 6 (All Day)
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ELEMENTARY PROGRAM:
6-9 CLASS (ages 6-9)
9-12 CLASS (ages 9-12)
12-15 CLASS (ages 12-15)
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WHEN DO YOU WISH TO ENROLL AT COUNCIL OAK?
PARENT (OR GUARDIAN)
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Armed Forces Americas
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State
ZIP Code
BUSINESS PHONE
MOTHER(OR GUARDIAN)
Email
HOME ADDRESS
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
HOME PHONE
BUSINESS/PROFESSION
NAME OF FIRM
BUSINESS PHONE
BUSINESS ADDRESS
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
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NAMES OF SIBLINGS
BIRTHDATES
SCHOOL NOW ATTENDING
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CHILD'S PREVIOUS SCHOOL EXPERIENCE:
NAME OF SCHOOL
PHONE
DATES OF ATTENDANCE
MM slash DD slash YYYY
SCHOOL ADDRESS
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
I AUTHORIZE THE RELEASE OF ANY INFORMATION OR RECORDS FROM THE ABOVE SCHOOL TO COUNCIL OAK MONTESSORI.
DATE
MM slash DD slash YYYY
PARENT SIGNATURE
Please describe your child's temperament, social relations, interests and special problems.
Has the child been tested for any psychological, emotional or behavioral difficulties or is there reason to be concerned about any of these?
What are the child's academic strengths and weaknesses?
What are the child's social strengths and weaknesses?
Is there anything the school should know about the child's health?
How do you think the Montessori system will benefit your child?
How did you choose this school for your child?
How did you first learn about this school?
A NONREFUNDABLE APPLICATION FEE IS REQUIRED WITH THIS APPLICATION.
DATE
MM slash DD slash YYYY
Application Fee
Application Fee $125.00
SIGNATURE
Council Oak Montessori School does not discriminate in admissions or placement on the basis of sex, race or creed. Acceptance is based on family commitment to Montessori education and the child's likely long-term attendance at Council Oak. Admission preference will be given to children who have siblings enrolled at Council Oak and to children with previous Montessori experience. All children are admitted on a probationary basis.
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