Application for Admission 2025-26

Application for Admission 2025-26

MEIPN admits students without regard to race, color, national or ethnic origin, nationality, religion, gender, sexual identity, sexual orientation, age, being differently abled, or other legally protected status.
Please fill out all applicable required and non-required fields.

If you are unable to fill out this form online, contact info@meipn.org for a PDF version.
Application Date*

MonthDayYear
Date
Program Applying For*

Infant & ToddlerEarly ChildhoodElementary I (6-9)Elementary I-II (6-12)Elementary II (9-12) for holders of MACTE Elementary I credential only
CONTACT AND STATUS INFORMATION
Full Name

First NameMiddle NameLast Name
Previous Name
e.g. Maiden name
Preferred First Name
Preferred pronouns*

she/herhe/himthey/theirother
Birth Date*

MonthDayYear
Date
Address

Street Address

Street Address Line 2, including Apt. #

CityState / Province

Postal / Zip Code
Mobile Phone Number*
Email (please list personal rather than work)*
example@example.com
Citizenship - If not a U.S. citizen, what is your status permitting study in the U.S.?
Background: For government statistical purposes, please check all that describe you background.

White/CaucasianAmerican Indian or Alaskan NativeHawaiian Native or Pacific IslanderBlack/African AmericanAsianHispanicMultiracialOther backgroundDisability (physical or mental)Veteran
Where did you hear about MEIPN?
What languages do you speak?
MERIT STARS# or Wash. St. Certification # if you have either
AMS Membership # if you have
EDUCATIONAL BACKGROUND
High School Name*
City and State*
High School Graduation Month/Year*
College Name
City and State
Years Attended
Degree Type (Certificate, AA, BA, etc.) and Major
Date Degree Granted, or Note "No Degree"
College Name
City and State
Years Attended
Degree Type (Certificate, AA, BA, etc.) and Major
Date Degree Granted, or Note "No Degree"
If more than 2 college degrees, name college, date, degree and major:
Montessori Credential(s): Level, Date, Institution
Teaching Credential(s) or other certifications: Name, Date, and Institution
EMPLOYMENT BACKGROUND
Current Employer/School Name*
Your Position
Employer Email
Employer Phone
Dates From/To
Former Employer/School Name
Your Position
Employer Email
Employer Phone
Dates From/To
EXPERIENCE WITH CHILDREN
Organization Name
Your position and responsibilities
Dates To/From
Organization Name
Your position and responsibilities
Dates To/From
Other Experiences with Children:
REFERENCES

Two professional references required; a third reference is optional

	Full Name	Email or Phone	Position/Title	Relationship
1
2
3

PRACTICUM PHASE

If you don't have a practicum site yet, notify us when you get one.
Practicum Site School Name
Practicum Site Address
School Director Name
School Director Email
School Director Phone
Practicum Supervising Teacher (If Supervised)
Teacher Name
Level of Montessori Credential and Granting Institution
Email
Phone
TUITION
Is your current employer paying any part of your tuition?*

YesNoTo be determined
Are you applying for or awaiting a Child Care Aware of Washington Scholarship Award? Indicate Yes or No with comments as appropriate.*
PERSONAL STATEMENT
In 500-600 words, describe why you are interested in Montessori Education, what elements of the Montessori philosophy resonate most with you, why you have decided to become a Montessori professional, and why you have selected training at this level.*
OTHER APPLICATION MATERIALS

Additional application files (Observation, Transcript, previous credentials) can be uploaded below, emailed to info@meipn.org, or mailed to Montessori Education Institute of the Pacific Northwest, 19102 North Creek Parkway, Bothell, WA 98011.
File Upload

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By typing my name below, I give permission for MEIPN to contact my references and current and former employers. I understand that my application will not be considered until this completed application form and all the required items have been received. See Admissions and Acceptance for What to Submit - All Levels.
Type Full Name as Signature
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Application for Admission 2025-26

Please fill out all applicable required and non-required fields.

CONTACT AND STATUS INFORMATION

EDUCATIONAL BACKGROUND

EMPLOYMENT BACKGROUND

EXPERIENCE WITH CHILDREN

REFERENCES

PRACTICUM PHASE

Practicum Supervising Teacher (If Supervised)

TUITION

PERSONAL STATEMENT