Application for Admission
2027-2028 School Year
Child’s Name
*
First Name (Preferred)
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Grade Applying For
*
Please Select
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Home Address
*
Street, City, State, ZIP
Home Neighborhood
*
Current School
*
School Neighborhood
*
Family Information
Parent / Guardian 1
*
Relationship to Child
*
Please Select
Mother
Father
Stepparent
Adoptive Parent
Guardian
Foster Parent
Other
Home Address (if different from child's)
Street, City, State, ZIP
Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Occupation
*
Employer
*
Parent / Guardian 2
*
Relationship to Child
*
Please Select
Mother
Father
Stepparent
Grandparent
Guardian
Foster Parent
Other
Not Applicable
Home Address (if different from child's)
Street, City, State, ZIP
Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Occupation
*
Employer
*
Sibling 1 - Name
Age/Grade
Current School
Sibling 2 - Name
Age/Grade
Current School
Getting to Know Your Child
Describe your child in 3–5 words.
*
What are your child's greatest strengths?
*
What are your child's greatest challenges?
*
What are your greatest hopes and desires for your child's elementary school experience?
*
Has your child received IQ testing or any other educational/psychological assessments?
*
Although Perkins does not require testing for admission, we ask to be provided with copies of any testing, evaluations, or other assessments your child has received.
Health Information (including allergies)
*
Your School Search
How did you hear about Perkins?
*
What other schools (public or private) are you considering?
*
Completed By
*
Date
*
-
Month
-
Day
Year
Date
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