Today's Application Date
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For:
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Age / Date of Birth
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Gender
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How did you learn about La Mariposa Montessori?
Name (Parent 1 - Primary Caregiver)
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Please include the names of all legal guardians of your child.
First Name
Last Name
Occupation (Parent 1)
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Phone (Parent 1)
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(###)
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Email (Parent 1)
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Mailing Address (where Parent 1 resides)
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Name (Parent 2)
First Name
Last Name
Phone (Parent 2)
(###)
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Email (Parent 2)
Mailing Address (where Parent 2 resides)
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Other significant caregiver/s? (Name and relationship to child)
Please describe your child's living situation: Include parents and significant caregivers, number and ages of siblings as well as typical schedule of visits or residence changes.
Please describe any special physical, social, or emotional challenges your child struggles with, as well as any significant learning differences that you are aware of.
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Known medical conditions or illnesses
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Date of last Hearing and Vision assessments (forms must accompany submission of admissions materials)
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Please list all schools or learning communities previously attended by your child. (Include art, music, playgroups, etc.)
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What do you consider your child's greatest gifts to be? Briefly describe your child’s interests, talents, needs and temperament, or any additional information that will help us better serve your child's needs.
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What do you hope your child and your family will gain from being part of a learning community like ours? What aspects of the La Mariposa experience do you consider most valuable?
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Please describe any special circumstances we should be aware of that might affect your child's performance in school.
Please describe any special circumstance during birth, if any?
Is Tuition/Financial Aid assistance needed?
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Yes or No?
Does your child show rediness to seperate from you successfully?
Has your child successfully transitioned from parents to outside care givers?
