Diploma Course Registration
Legal Name of Student
*
First Name
Last Name
Email
*
example@example.com
Date of Birth
*
-
Month
-
Day
Year
Date
Country of Birth
*
Nationality (Country of Citizenship)
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Please indicate which course you will be attending:
*
Please Select
Blended 2-Summer Course (7/2026 to 6/2027)
In-person Course (9/2026 to 5/2027)
How Did You Hear About This Course?
*
Highest Academic Level Achieved:
*
Name of Institution:
*
Date of Degree/Program Completion:
*
Additional Academic Achievement:
*
Name of Institution(s):
*
Date of Degree/Program Completion:
*
Reference 1:
*
Reference 1 Email:
*
Reference 2:
*
Reference 2 Email:
*
Reference 3:
*
Reference 3 Email:
*
Please share what inspired you to take the Montessori 3-6 diploma training:
Current School Affiliation **If applicable**
Is your school sponsoring your training?
*
Please Select
Yes
No
Name of Sponsoring Organization or Individual **If applicable**
How did you hear about this Course?
*
Application Fee
Payment of the Application Fee of $150 is required for you to be registered for our program. This fee is nonrefundable.
Payment
*
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Application Fee
$
150.00
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