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Admission Application

Application Process:

1) Parents are invited to visit the school by appointment.

2) Parents submit a completed application along with application fee for consideration.

3) All prospective students and parents meet with a teacher.

4) Upon acceptance a contract is offered.

Student’s Full Name*

Date of Birth*

Gender*

Mother or Guardian: First and Last Name*

Father or Guardian: First and Last Name*

Mother's Email Address:*

Father's Email Address:*

Street Address:*

Town or City*

State*

Zip Code*

Father's Address, if different

Father's Town or City - if different

Father's State - if different

Home Phone Number* - -

Mother's Cell Number - -

Mother's Occupation/Employer:*

Father's Cell Number - -

Father's Occupation/Employer:*

Sibling(s) Name*

Sibling's Date of Birth*

Sibling's Current School*

Sibling's Date of Birth

Sibling's Current School

Applying for Start Date:*

Level Applying For?* Toddler Morning Toddler Morning with Montessori Care Primary Morning Primary Morning with Montessori Care Primary Extended Day Lower Elementry (Grades 1 to 3) Upper Elementary (Grades 4 to 6) Middle School (Grades 7 and 8)

Previous school experience:

What are your educational goals for your child?

What are your expectations of how Farmington Valley Academy will facilitate these goals?

What talents or special interests would your family be willing to share with our school?

Does your child have any hobbies, sports, special interests, or unique capabilities or talents?

How would you describe your child’s social and emotional interactions?

Any significant medical history which we should be aware of and/or have any diagnostic evaluations ever been completed ?

Does your child participate in any extracurricular activities? If yes, please list:

What language or languages are spoken at home?

Are there any areas in which we might be able to provide special help/encouragement to your child?

Please tell us anything else you think we should know.

Signature of parents or guardians:*

Date*

Application Fee $75.00

Payment Method:*

Payment Notes/Additional Info:

Admission Application

Farmington Valley Academy Montessori