Toddler/Primary Application

Elementary, Middle School, and High School Application Form

Harbour Oaks Montessori School
What school year are you applying for?
Child's Full Name

First NameLast Name
Child's Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Child's Date of Birth

MonthDayYear
Date
Child's Gender
Academic Program

Please select one.
Lower Elementary (1st-3rd grade)Upper Elementary (4th-6th grade)Adolescent 1 (7th - 9th grade)Adolescent 2 (10th - 12th grade)
Parent/Guardian 1 Information
Full Name

First NameLast Name
Address (if same as child, please write "SAME")

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Email
example@example.com
Parent/Guardian 2 Information
Full Name

First NameLast Name
Address (if same as child, please write "SAME")

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Email
example@example.com
Child's Health Information
Special Physical NeedsEmotional NeedsEducational NeedsLong-Term MedicationsIllnessCondtionsPhysical Restrictions
If any needs are checked above, please explain below:
Child's History and Habits
With whom does your child reside (immediate family, extended family, secondary care-givers)?
Who, beside a parent/guardian regularly cares for your child?
Siblings and their ages:
Has your child ever been double promoted? Is so, which grade?
Has your child ever repeated a grade? If so, which grade?
Has your child been in advanced classes? Which grades and curriculums?
Does your child have any academic challenges? If so, which areas?
Has additional, special testing or tutoring been indicated at any point in school? Which grades and areas?
Does your child have any clinically diagnosed learning differences? What diagnosis and when was your child diagnosed?
Has your child ever been dismissed from school for any reason? If yes, please explain and include name of school and principal
Has your child ever had any psychological counseling? If yes, please explain below. Please note, this will NOT become part of your child's permanent record or shared.
Does your child have any dietary restrictions?
What television programs/movies does your child watch? How many hours a week does your child watch television/movies?
What video/computer/phone/electronic games does your child play? How many hours a week does your child use electronic media?
How long can your child focus on a task (not including electronic-media oriented tasks)?
Child's Development and Educational Experience
Last school attended
How long did your child attend the above school?
Reason for leaving previous school / Reason for starting school for the first time?
Current grade level:
What type of environments has your child been in since birth?
Educational Goals
How did you hear about Montessori?
What attracted you to Harbour Oaks Montessori School?
What are your long-range plans/goals for your child's education?
Would you like to see your child continue in Montessori until age 18 years?
How will you support the Montessori method at home?
What do you hope your child will gain from a Montessori education?
Is there anything you would like Harbour Oaks Montessori School to know about your child?
For an application to be considered for enrollment;
- An application must be submitted electronically or in-person at the school
- A one time, per child, non-refundable application fee of $250.00 must be turned in (in-person) to the school office
- Applicant must tour the campus
By typing your name below, you indicate that you have filled out the above information accurately and completely. By typing your name below you acknowledge you have read the application process requirements.
Name

First NameLast Name
Date

MonthDayYear
Date
Thank you for submitting an application to Harbour Oaks Montessori School!
Should be Empty:

Elementary, Middle School, and High School Application Form

Academic Program

Parent/Guardian 1 Information

Parent/Guardian 2 Information

Child's Health Information

Child's History and Habits

Child's Development and Educational Experience

Educational Goals