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Application for Admission
The Montessori School of Florence
Student Information
Student's Name
(Required)
First
Middle
Last
Preferred Name
First
Gender
(Required)
Address
(Required)
Street Address
Address Line 2
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
Enter Street or Post Office Box
Date of Birth
(Required)
MM slash DD slash YYYY
Preferred Start Date
(Required)
MM slash DD slash YYYY
Is your child adopted?
(Required)
Yes
No
If Yes, Date of Adoption
MM slash DD slash YYYY
From where:
Is your child currently attending a school or day care program?
(Required)
If Yes, name it.
Family Information
Parent/Guardian 1:
Mr.
Mrs.
Ms
Dr
Parent/Guardian 2:
Mr.
Mrs.
Ms
Dr
Full Name
(Required)
First
Full Name
(Required)
First
Preferred First Name:
First
Preferred First Name:
First
Place of Employment
Place of Employment
Position
Position
Primary Language
Primary Language
Email
Email
Cell Phone
Cell Phone
Work Phone
Work Phone
Home Phone
Home Phone
Marital Status:
Married
Separated
Divorced
Other
Child lives with:
Both parents
Mother
Father
Other
Language spoken at home
Other language(s) you are teaching your child:
Does your child understand English?
Does your child speak English?
Siblings:
Name
First
Gender
Age
School
Name
First
Gender
Age
School
Name
First
Gender
Age
School
Health History
Please describe your child’s health
Does your child have allergies?
Yes
No
Please name allergies
Has your child been seen by a medical professional for anything other than routine physicals?
Yes
No
If yes, please describe
Is your child receiving, or has your child ever received, outside services (speech therapy, physical therapy, psychological testing, counseling, etc.)?
Yes
No
If yes, please describe
(Please include a copy of report from the provider.)
Please list any medications your child takes on a daily basis:
General Information
If applicable, what is your current/former school(s)?
Why do you want to change schools?
How did you learn about Montessori education?
Why are you considering the Montessori method for your child’s education?
How did you learn about our school?
Have any family members attended a Montessori school?
I understand that if the classroom directress finds that my child needs to be screened for additional services to improve his academic success, I am obligated to obtain these services or my child may be dismissed.
Agreed
I have enclosed with this application a copy of any testing and/or former school records for my child and authorize the Montessori School of Florence to contact my child’s current or previous school and obtain records. I acknowledge that all statements made are truthful and accurate and hereby apply for admission for (Child's Name) to the Montessori School of Florence and agree to abide by all rules and regulations thereof.
Child's Name
Signature of parent/guardian
(Required)
Date
(Required)
MM slash DD slash YYYY
Signature of parent/guardian
(Required)
Date
(Required)
MM slash DD slash YYYY
Students are selected without regard to race or creed. All information is treated confidentially.
Number
✕
Home
Who We Are
Faculty & Staff
Board of Directors
Calendar
Photo Gallery
Employment Opportunities
Our Programs
Pre-Primary
Primary
Elementary
Montessori
Curriculum
FAQs
Support MSF
Support MSF
The Maverick Fund
Current Parents
Events
Contact
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