Lower School Admissions Application

COLUMBIA INDEPENDENT SCHOOL

Application for Admission to Lower School Grades 1-5
Apply to Lower School Grades 1-5 for 2026-27 or 2027-28

Please use this form to apply for admission to Grades 1-5. After you submit the application, the CIS Admissions office will contact you regarding next steps, including additional forms and an assessment with a CIS teacher.

We are still accepting applications for the 2026-27 school year. For the current school year, we will accept applications and enroll students until January 31, 2027. For current year enrollment, we recommend contacting the admissions office to inquire about openings in your child's grade prior to submitting an application. If a grade is full, we will accept applications for the waiting pool.

We are now accepting applications for the 2027-28 school year. The initial deadline for Grades 1-5 is Monday, March 1, 2027. We will accept applications after that date until grades are full.

Note regarding payment of the $70 aplication fee: our payment processor Authorize.net accepts Visa, Mastercard and Discover - sorry, they do not accept American Express.

CIS believes a strong, cooperative partnership with families is a key component of student success, and this partnership begins at the applicant stage. If more than one parent or guardian has physical and/or legal custody of the student, both parents or guardians should be listed in this application and will be asked to sign an enrollment agreement before the student can be enrolled. This is our policy even when parents are divorced or if only one parent plans to pay tuition.

If you have any questions, please contact Kari in the CIS Admissions Office at admissions@cislions.org or (573) 777-9257.
STUDENT INFORMATION
Name of Student:

First NameMiddle NameLast Name
Preferred Name:
Birth Date

MonthDayYear
Gender
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Grade applying for:
School year applying for:
Is the applicant a U.S citizen?
Please select your student's race:
Please select your student's ethnicity:
If no, is this student a permanent resident of the U.S.? (If yes, please submit copy of green card).
If no, is this student in the U.S. on a student visa? (If yes, please submit copy of visa).
Students requiring an I-20 must complete the International Student Application
Parent/Guardian #1
Title
Name:

First NameLast Name
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number:

Area CodePhone Number
Marital Status:
Occupation
Employer
Email
example@example.com
Relationship to Applicant:
Parent/Guardian #2

Please list information for the child's other parent. If Parent #1 has sole legal custody and does not wish to enter Parent #2 information, please check the box below in order to skip Parent #2 fields.
Sole legal custody
Title
Name:

First NameLast Name
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number:

Area CodePhone Number
Marital Status:
Occupation
Employer
Email
example@example.com
Relationship to Applicant:
EDUCATION
Name of Current School:
Current Grade:
Dates of Attendance:
CIS Admissions Policy
Columbia Independent School admits students of any race, color, national and ethnic origin, and sexual orientation to all the rights, privileges, programs and activities generally accorded or made available to students at the school. CIS does not discriminate on the basis of race, color, national and ethnic origin, or sexual orientation in the administration of its educational and admission policies, scholarship and loan programs, and in-school or extracurricular activities.
PARENT QUESTIONS
Please answer the following questions completely and candidly. The information provided aids the admissions committee in determining whether or not Columbia Independent School can meet your child’s needs.
Please describe your child’s special interests or skills.
Is your child multilingual? If yes, what other languages are spoken at home?
Has your child received any assistance in the form of special education programming, including gifted and/or talented, behavioral intervention, or English as a Second Language instruction? If yes, please explain.
Has your child been diagnosed with any learning differences or provided accommodations of which we should be aware so we can assist your child with the transition to CIS, should an offer of admission be extended?
Does your child have any health irregularities or allergies that might interfere with normal classroom and/or physical education activities? If yes, please explain.
What are the reasons you are considering an independent school for your child? What do you believe your child might contribute to a school community? Are there particular skills or talents you hope will be cultivated at your child's next school?
What experience has posed the biggest academic and/or extracurricular challenge for your child? How did/has your child responded to that challenge?
Is there anything about the sequence of your child's schooling that we should know? Did your child skip or repeat a year? Was your child ever asked to withdraw from any school, suspended, or put on probation? If you answered yes to any of the questions above, please share the experience here. Were there particular things you or your child learned, gained, or changed as a result of that experience?

Research shows that everyone has the 8 character skills below, in different amounts, at different times in their lives. Please select the category you think most reflects the level of skill when thinking about your child today.

Rows	Emerging (starting to show signs of this skill)	Developing (this skill is present and still developing)	Demonstrating (clear understanding and use of this skill)	No basis for judgement
Initiative
Intellectual Curiosity
Open Mindedness
Resilence
Responsibilty
Self-Control
Social Awareness
Teamwork

If there is anything you wish to tell us about your child, but that you have not yet had an opportunity to share, feel free to use the space below to offer your thoughts.

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Application Fee$70.00

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Total $0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Should be Empty:

COLUMBIA INDEPENDENT SCHOOL

STUDENT INFORMATION

Parent/Guardian #1

Parent/Guardian #2

EDUCATION

PARENT QUESTIONS

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