Application for Admission

About Your Child and Family
Please write 3 words that come to mind when describing your child:
1. *
2. *
3. *
Please describe your child's personality and temperament: *
Kindergarten applicants: If your child is currently enrolled in childcare or school, what does s/he enjoy most during his/her day? *
Elementary applicants: Please comment on your child's current school setting experience. What works well? What is a challenge? *
Are you aware of any special learning needs your child may have? *
Does your child have any medical concerns (e.g., allergies or sensitivities to certain foods or medications, traumatic injuries or serious illnesses? *

No
Please provide us with any additional information we should know about your child:

Parent/Guardian Information

Please complete the following information for each parent/guardian.
Parent/Guardian 1:
Full Name *

First Name Last Name
Home Address (if different from child's):

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Home Phone:

Area Code Phone Number
Cell Phone: *

Area Code Phone Number
E-mail Address: *

Confirmation Email
Occupation/Title:
Work Phone:

Area Code Phone Number
Employer's Name:
Employer's Address:

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
What is the best way to reach Parent/Guardian 1 during the day? *
Parent/Guardian 2:
Full Name

First Name Last Name
Home Address (if different from child's):

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Home Phone:

Area Code Phone Number
Cell Phone:

Area Code Phone Number
E-mail Address:

Confirmation Email
Occupation/Title:
Work Phone:

Area Code Phone Number
Employer's Name:
Employer's Address:

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
What is the best way to reach Parent/Guardian 2 during the day?
Please choose one:

Parents are married and/ or living together Parents are divorced Parents are separated Single Parent Parent(s) are remarried
Name of Spouse
Name of Spouse
FOR ALL APPLICANTS WHO HAVE ATTENDED SCHOOL, please attach or forward the following information:

- Transcript from your child's current or previous school(s).

- Student Evaluation Form completed by your child's current teacher.
Student Evaluation Form - Early Childhood
Student Evaluation Form - Kindergarten/Elementary

Application Fee
Applications are valid for one admission year. Once you have submitted this Application for Admission, please pay the non-refundable $100 Application Fee by check mailed to SNHEC. Please submit the Student Evaluation Form as soon as possible.

Please mail checks and Student Evaluations to:

SOUTHERN NH EDUCATION CENTER 1E Commons Dr. Unit 28, Londonderry NH 03053

Upon receipt of the Application form and fee you will receive a confirmation and be contacted to schedule your interview.
Please choose payment method: *
You may include a recent snapshot of your child if you wish.
By digitally signing this form, you are agreeing to all of the terms and conditions outlined in this Application for Admission.
Signature:

Clear
Full Name: *
Today's Date *

Month Day Year
E-mail address of person completing this form: *

Confirmation Email
Southern NH Montessori Academy is a non-sectarian Montessori school that does not discriminate against individuals on the basis of race, color, religion, national or ethnic origin, political beliefs, disabilities, marital status or sexual orientation in the administration of its educational policies, admission or hiring policies, and other school administered programs.

Southern NH Montessori Academy considers the records of all individual students to be confidential information available to a child's parents or guardians upon request. Records will be released to other schools or agencies only upon receipt of a signed request from a parent or guardian and only after all accounts due have been paid in full.
Should be Empty:

Application for Admission

Application Information

About Your Child and Family

Parent/Guardian Information

Application Fee