FAMILY INFORMATION

Full Name*

First NameMiddle NameLast Name

Gender Indentification*

MaleFemale

Date of Birth*

MonthDayYear

Child's Primary Language*

Child's Other Language(s)

1. Parent/Guardian Information*

First NameMiddle NameLast Name

Relationship to Student*

Gender Identification*

MaleFemale

Address 2

City*

Address 1*

Zip/Postale Code*

Telephone (Please provide the best number where we can reach you)*

Mobile*

E-mail*

Primary Language*

Occupation

2. Parent/Guardian Information*

First NameMiddle NameLast Name

Relationship to Student*

Gender Identification*

MaleFemale

Address 1*

Address 2

City*

Zip/Postale Code*

Telephone (Please provide the best number where we can reach you)*

Mobile*

Email Address*

Occupation

Child's Primary Address Child Lives with*

Both ParentsParent 1Parent 2Other (please explain below )

If Other, please explain

If parents are separated, who is the custodial parent?

enter N/A if not applicable

Financially Responsible Person(s)*

What kind of education are you seeking for you child?*

How did you hear about Imagina Menlo?*

What are you child's strengths?*

What are your child's interests and activities?*

Does your child have any identified special needs? If so, are you willing to share specialists' reports?*

Family Photograh*

Upload a File

Please upload a picture of your family.

Is there any additional information which you wish to share with us?*

Please tell us at length why you are interested in Spanish Immersion Program at Imagina Menlo*

Country or Family's Origin

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!

Sign Document

STUDENT INFORMATION

FAMILY INFORMATION

Additional Information

Non-Discrimination Policy