FAMILY INFORMATION

1
Full Name* This field is required.
First Name
Middle Name
Last Name
2
Gender Indentification* This field is required.
Male
Female
3
Date of Birth* This field is required.
Date
Month
Day
Year
4
Child's Primary Language* This field is required.
Please Select
Please Select
English
Spanish
Chinese
Frech
German
Italian
Arabic
Hindi
Japanese
Other
5
Child's Other Language(s)
Please Select
Please Select
English
Spanish
Chinese
Frech
German
Italian
Arabic
Hindi
Japanese
Other
6
1. Parent/Guardian Information* This field is required.
First Name
Middle Name
Last Name
7
Relationship to Student* This field is required.
8
Gender Identification* This field is required.
Male
Female
9
Address 2
10
City* This field is required.
11
Address 1* This field is required.
12
Zip/Postale Code* This field is required.
13
Telephone (Please provide the best number where we can reach you)* This field is required.
14
Mobile* This field is required.
15
E-mail* This field is required.
16
Primary Language* This field is required.
17
Occupation
18
2. Parent/Guardian Information* This field is required.
First Name
Middle Name
Last Name
19
Relationship to Student* This field is required.
20
Gender Identification* This field is required.
Male
Female
21
Address 1* This field is required.
22
Address 2
23
City* This field is required.
24
Zip/Postale Code* This field is required.
25
Telephone (Please provide the best number where we can reach you)* This field is required.
26
Mobile* This field is required.
27
Email Address* This field is required.
28
Occupation
29
Child's Primary Address Child Lives with* This field is required.
Both Parents
Parent 1
Parent 2
Other (please explain below )
30
If Other, please explain
31
If parents are separated, who is the custodial parent?
enter N/A if not applicable
32
Financially Responsible Person(s)* This field is required.
33
What kind of education are you seeking for you child?* This field is required.
34
How did you hear about Imagina Menlo?* This field is required.
35
What are you child's strengths?* This field is required.
36
What are your child's interests and activities?* This field is required.
37
Does your child have any identified special needs? If so, are you willing to share specialists' reports?* This field is required.
38
Family Photograh* This field is required.
Drag and drop files here
Select files to upload
Max. file size: 1.0MB
Please upload a picture of your family.
Cancelof
39
Is there any additional information which you wish to share with us?* This field is required.
40
Please tell us at length why you are interested in Spanish Immersion Program at Imagina Menlo* This field is required.
41
Country or Family's Origin
42

Non-Discrimination Policy

IMD admits students of any race, color, religion, and national or ethnic origin and accords to them all the rights, privileges, programs and activities generally made available to students at Imagina Menlo.

Imagina Menlo does not discriminate on the basis of race, color, religion, national or ethnic origin, gender identification, sexual identification or family composition in the administration of its policies, procedures or admission process.

When you are ready to submit your application, click "Submit Application."

In order to finish the application process you need to pay the $100 application fee with Zelle using this number 6506309026

Please note:

Once you have submitted your application, it is considered final and cannot be changed. If you submit multiple applications for the same child, only the first one submitted will be considered.

Please submit one application per child.

If you have any questions, please do not hesitate to contact Oscar Corona, Director of Admissions by email: imaginamenlo@imaginamenlo.com or telephone: (650) 630-9026

Thank you for applying to Imagina Menlo!
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Non-Discrimination Policy