[/vc_column_text][/vc_column]<div class="wpb_column vc_column_container vc_col-sm-2"><div class="vc_column-inner"><div class="wpb_wrapper"></div></div></div>[/vc_row]<div class="vc_row wpb_row section vc_row-fluid vc_custom_1542063921135" style=' text-align:left;'><div class=" full_section_inner clearfix"><div class="wpb_column vc_column_container vc_col-sm-2"><div class="vc_column-inner"><div class="wpb_wrapper"></div></div></div><div class="wpb_column vc_column_container vc_col-sm-8"><div class="vc_column-inner"><div class="wpb_wrapper"> <div class="wpb_text_column wpb_content_element "> <div class="wpb_wrapper"> <div id="dhvcform-663" class="dhvc-form-container dhvc-form-icon-pos-right dhvc-form-vertical dhvc-form-flat"> <form novalidate data-scroll_to_msg="1" data-ajax_reset_submit="1" data-popup="0" autocomplete="off" data-use-ajax="1" method="post" class="dhvcform dhvcform-663 dhvcform-action-default" enctype="multipart/form-data" target="_self" > <div class="dhvc-form-inner"> <div class="vc_row wpb_row section vc_row-fluid admission_app" style=' text-align:left;'><div class=" full_section_inner clearfix"><div class="wpb_column vc_column_container vc_col-sm-12"><div class="vc_column-inner"><div class="wpb_wrapper"><div class="dhvc-form-steps dhvc-form-4-steps"> <div data-step-index="1" class="dhvc-form-step dhvc-form-step-1 active"> <div class="dhvc-form-step-line"></div> <div class="dhvc-form-step-icon"> <i class="vc_tta-icon vc-material vc-material-subdirectory_arrow_right"></i> </div> <div class="dhvc-form-step-title"> Student Information </div> </div> <div data-step-index="2" class="dhvc-form-step dhvc-form-step-2"> <div class="dhvc-form-step-line"></div> <div class="dhvc-form-step-icon"> <i class="vc_tta-icon vc-oi vc-oi-pin"></i> </div> <div class="dhvc-form-step-title"> Parent/Guardian #1 Information </div> </div> <div data-step-index="3" class="dhvc-form-step dhvc-form-step-3"> <div class="dhvc-form-step-line"></div> <div class="dhvc-form-step-icon"> <i class="vc_tta-icon vc-oi vc-oi-pin"></i> </div> <div class="dhvc-form-step-title"> Parent/Guardian #2 Information </div> </div> <div data-step-index="4" class="dhvc-form-step dhvc-form-step-4"> <div class="dhvc-form-step-line"></div> <div class="dhvc-form-step-icon"> <i class="vc_tta-icon vc-oi vc-oi-pin"></i> </div> <div class="dhvc-form-step-title"> Program Information </div> </div> </div> <div class="dhvc-form-step-contents"> <div class="dhvc-form-step-content dhvc-form-step-content-1 active"> <div class="vc_row wpb_row section vc_row-fluid vc_inner " style=' text-align:left;'><div class=" full_section_inner clearfix"><div class="wpb_column vc_column_container vc_col-sm-6"><div class="vc_column-inner"><div class="wpb_wrapper"><div class="dhvc-form-group dhvc-form-firstname-box dhvc_form_text "> <label class="dhvc-form-label" for="dhvc_form_control_firstname">Student's First Name <span class="required">*</span></label> <div class="dhvc-form-input "> <input data-field-name="firstname" autocomplete="off" type="text" id="dhvc_form_control_firstname" name="firstname" value="" class="dhvc-form-control dhvc-form-control-firstname dhvc-form-value dhvc-form-required-entry " required aria-required="true" placeholder="Your Name" > </div></div> </div></div></div><div class="wpb_column vc_column_container vc_col-sm-6"><div class="vc_column-inner"><div class="wpb_wrapper"><div class="dhvc-form-group dhvc-form-lastname-box dhvc_form_text "> <label class="dhvc-form-label" for="dhvc_form_control_lastname">Student's Last Name <span class="required">*</span></label> <div class="dhvc-form-input "> <input data-field-name="lastname" autocomplete="off" type="text" id="dhvc_form_control_lastname" name="lastname" value="" class="dhvc-form-control dhvc-form-control-lastname dhvc-form-value dhvc-form-required-entry " required aria-required="true" placeholder="Your Name" > </div></div> </div></div></div></div></div><div class="vc_row wpb_row section vc_row-fluid vc_inner " style=' text-align:left;'><div class=" full_section_inner clearfix"><div class="wpb_column vc_column_container vc_col-sm-6"><div class="vc_column-inner"><div class="wpb_wrapper"><div class="dhvc-form-group dhvc-form-dob-box dhvc_form_datetime "> <label class="dhvc-form-label" for="dhvc_form_control_dob">Student's Birthday</label> <div class="dhvc-form-input dhvc-form-has-add-on"> <input readonly data-field-name="dob" type="text" id="dhvc_form_control_dob" data-year-start="1950" data-year-end="2050" data-min-date="false" data-max-date="false" name="dob" class="dhvc-form-control dhvc-form-value dhvc-form-control-dob dhvc-form-datepicker dhvc-form-control" placeholder="" > <span class="dhvc-form-add-on"><i class="fa fa-calendar"></i></span> </div> </div> </div></div></div><div class="wpb_column vc_column_container vc_col-sm-6"><div class="vc_column-inner"><div class="wpb_wrapper"><div class="dhvc-form-group dhvc-form-address-box dhvc_form_text "> <label class="dhvc-form-label" for="dhvc_form_control_address">Student's Address <span class="required">*</span></label> <div class="dhvc-form-input "> <input data-field-name="address" autocomplete="off" type="text" id="dhvc_form_control_address" name="address" value="" class="dhvc-form-control dhvc-form-control-address dhvc-form-value dhvc-form-required-entry " required aria-required="true" placeholder="Your Address" > </div></div> </div></div></div></div></div><div class="vc_row wpb_row section vc_row-fluid vc_inner " style=' text-align:left;'><div class=" full_section_inner clearfix"><div class="wpb_column vc_column_container vc_col-sm-6"><div class="vc_column-inner"><div class="wpb_wrapper"><div class="dhvc-form-group dhvc-form-citystate-box dhvc_form_text "> <label class="dhvc-form-label" for="dhvc_form_control_citystate">Student's City, State & Zip <span class="required">*</span></label> <div class="dhvc-form-input "> <input data-field-name="citystate" autocomplete="off" type="text" id="dhvc_form_control_citystate" name="citystate" value="" class="dhvc-form-control dhvc-form-control-citystate dhvc-form-value dhvc-form-required-entry " required aria-required="true" placeholder="Your City, State & Zip" > </div></div> </div></div></div><div class="wpb_column vc_column_container vc_col-sm-6"><div class="vc_column-inner"><div class="wpb_wrapper"><div class="dhvc-form-group dhvc-form-gender-box dhvc_form_checkbox "> <label class="dhvc-form-label">Student's Gender <span class="required">*</span></label> <div class="dhvc-form-checkbox"> <label class="" for="dhvc_form_control_male_6039a2085a828" ><input data-field-name="gender" data-name="gender" type="checkbox" class="dhvc-form-value dhvc-form-control-gender dhvc-form-required-entry" id="dhvc_form_control_male_6039a2085a828" name="gender[]" value="male"><i></i>Male</label> <label class="" for="dhvc_form_control_female_6039a2085a908" ><input data-field-name="gender" data-name="gender" type="checkbox" class="dhvc-form-value dhvc-form-control-gender " id="dhvc_form_control_female_6039a2085a908" name="gender[]" value="female"><i></i>Female</label> </div></div> </div></div></div></div></div><div class="vc_row wpb_row section vc_row-fluid vc_inner " style=' text-align:left;'><div class=" full_section_inner clearfix"><div class="wpb_column vc_column_container vc_col-sm-12"><div class="vc_column-inner"><div class="wpb_wrapper"><div class="dhvc-form-group dhvc-form-recentpic-box dhvc_form_file "> <label class="dhvc-form-label">Student Photo <span class="required">*</span></label> <div class="dhvc-form-file"> <label for="dhvc_form_control_recentpic"><span class="dhvc-form-file-button"> <i>Browse</i> </span> <input id="dhvc_form_control_recentpic" data-field-name="recentpic" name="recentpic" class="dhvc-form-value dhvc-form-validate-extension dhvc-form-control-recentpic dhvc-form-required-entry" type="file"><input autocomplete="off" class="dhvc-form-control" type="text" value="" readonly="readonly"> </label> </div><span class="dhvc-form-help">Please upload a recent photo of your child</span> </div> </div></div></div></div></div><div class="dhvc-form-action dhvc_form_submit_button "><button type="submit" class="button dhvc-form-submit"><span class="dhvc-form-submit-label">Submit</span><span class="dhvc-form-submit-spinner"></span></button></div></div><div class="dhvc-form-step-content dhvc-form-step-content-2"> <div class="vc_row wpb_row section vc_row-fluid vc_inner " style=' text-align:left;'><div class=" full_section_inner clearfix"><div class="wpb_column vc_column_container vc_col-sm-6"><div class="vc_column-inner"><div class="wpb_wrapper"><div class="dhvc-form-group dhvc-form-pname-box dhvc_form_text "> <label class="dhvc-form-label" for="dhvc_form_control_pname">Parent/Guardian First Name <span class="required">*</span></label> <div class="dhvc-form-input "> <input data-field-name="pname" autocomplete="off" type="text" id="dhvc_form_control_pname" name="pname" value="" class="dhvc-form-control dhvc-form-control-pname dhvc-form-value dhvc-form-required-entry " required aria-required="true" placeholder="" > </div></div> </div></div></div><div class="wpb_column vc_column_container vc_col-sm-6"><div class="vc_column-inner"><div class="wpb_wrapper"><div class="dhvc-form-group dhvc-form-parentlast-box dhvc_form_text "> <label class="dhvc-form-label" for="dhvc_form_control_parentlast">Parent/Guardian Last Name <span class="required">*</span></label> <div class="dhvc-form-input "> <input data-field-name="parentlast" autocomplete="off" type="text" id="dhvc_form_control_parentlast" name="parentlast" value="" class="dhvc-form-control dhvc-form-control-parentlast dhvc-form-value dhvc-form-required-entry " required aria-required="true" placeholder="" > </div></div> </div></div></div></div></div><div class="vc_row wpb_row section vc_row-fluid vc_inner " style=' text-align:left;'><div class=" full_section_inner clearfix"><div class="wpb_column vc_column_container vc_col-sm-6"><div class="vc_column-inner"><div class="wpb_wrapper"><div class="dhvc-form-group dhvc-form-parentaddress-box dhvc_form_text "> <label class="dhvc-form-label" for="dhvc_form_control_parentaddress">Parent/Guardian Address ( Only provide if different from Student Address) <span class="required">*</span></label> <div class="dhvc-form-input "> <input data-field-name="parentaddress" autocomplete="off" type="text" id="dhvc_form_control_parentaddress" name="parentaddress" value="" class="dhvc-form-control dhvc-form-control-parentaddress dhvc-form-value dhvc-form-required-entry " required aria-required="true" placeholder="" > </div></div> </div></div></div><div class="wpb_column vc_column_container vc_col-sm-6"><div class="vc_column-inner"><div class="wpb_wrapper"><div class="dhvc-form-group dhvc-form-parentcity-box dhvc_form_text "> <label class="dhvc-form-label" for="dhvc_form_control_parentcity">Parent/Guardian City, State & Zip ( Only provide if different from Student Address) <span class="required">*</span></label> <div class="dhvc-form-input "> <input data-field-name="parentcity" autocomplete="off" type="text" id="dhvc_form_control_parentcity" name="parentcity" value="" class="dhvc-form-control dhvc-form-control-parentcity dhvc-form-value dhvc-form-required-entry " required aria-required="true" placeholder="" > </div></div> </div></div></div></div></div><div class="vc_row wpb_row section vc_row-fluid vc_inner " style=' text-align:left;'><div class=" full_section_inner clearfix"><div class="wpb_column vc_column_container vc_col-sm-6"><div class="vc_column-inner"><div class="wpb_wrapper"><div class="dhvc-form-group dhvc-form-parentoccupation-box dhvc_form_text "> <label class="dhvc-form-label" for="dhvc_form_control_parentoccupation">Parent/Guardian Occupation <span class="required">*</span></label> <div class="dhvc-form-input "> <input data-field-name="parentoccupation" autocomplete="off" type="text" id="dhvc_form_control_parentoccupation" name="parentoccupation" value="" class="dhvc-form-control dhvc-form-control-parentoccupation dhvc-form-value dhvc-form-required-entry " required aria-required="true" placeholder="" > </div></div> </div></div></div><div class="wpb_column vc_column_container vc_col-sm-6"><div class="vc_column-inner"><div class="wpb_wrapper"><div class="dhvc-form-group dhvc-form-parentemployer-box dhvc_form_text "> <label class="dhvc-form-label" for="dhvc_form_control_parentemployer">Parent/Guardian Employer <span class="required">*</span></label> <div class="dhvc-form-input "> <input data-field-name="parentemployer" autocomplete="off" type="text" id="dhvc_form_control_parentemployer" name="parentemployer" value="" class="dhvc-form-control dhvc-form-control-parentemployer dhvc-form-value dhvc-form-required-entry " required aria-required="true" placeholder="" > </div></div> </div></div></div></div></div><div class="vc_row wpb_row section vc_row-fluid vc_inner " style=' text-align:left;'><div class=" full_section_inner clearfix"><div class="wpb_column vc_column_container vc_col-sm-6"><div class="vc_column-inner"><div class="wpb_wrapper"><div class="dhvc-form-group dhvc-form-parentphone-box dhvc_form_text "> <label class="dhvc-form-label" for="dhvc_form_control_parentphone">Parent/Guardian Home Phone Number <span class="required">*</span></label> <div class="dhvc-form-input "> <input data-field-name="parentphone" autocomplete="off" type="text" id="dhvc_form_control_parentphone" name="parentphone" value="" class="dhvc-form-control dhvc-form-control-parentphone dhvc-form-value dhvc-form-required-entry " required aria-required="true" placeholder="" > </div></div> <div class="dhvc-form-group dhvc-form-parentemail-box dhvc_form_text "> <label class="dhvc-form-label" for="dhvc_form_control_parentemail">Parent/Guardian Email <span class="required">*</span></label> <div class="dhvc-form-input "> <input data-field-name="parentemail" autocomplete="off" type="text" id="dhvc_form_control_parentemail" name="parentemail" value="" class="dhvc-form-control dhvc-form-control-parentemail dhvc-form-value dhvc-form-required-entry " required aria-required="true" placeholder="" > </div></div> </div></div></div><div class="wpb_column vc_column_container vc_col-sm-6"><div class="vc_column-inner"><div class="wpb_wrapper"><div class="dhvc-form-group dhvc-form-parentcell-box dhvc_form_text "> <label class="dhvc-form-label" for="dhvc_form_control_parentcell">Parent/Guardian Cell Phone Number <span class="required">*</span></label> <div class="dhvc-form-input "> <input data-field-name="parentcell" autocomplete="off" type="text" id="dhvc_form_control_parentcell" name="parentcell" value="" class="dhvc-form-control dhvc-form-control-parentcell dhvc-form-value dhvc-form-required-entry " required aria-required="true" placeholder="" > </div></div> </div></div></div></div></div><div class="dhvc-form-action dhvc_form_submit_button "><button type="submit" class="button dhvc-form-submit"><span class="dhvc-form-submit-label">Submit</span><span class="dhvc-form-submit-spinner"></span></button></div></div><div class="dhvc-form-step-content dhvc-form-step-content-3"> <div class="vc_row wpb_row section vc_row-fluid vc_inner " style=' text-align:left;'><div class=" full_section_inner clearfix"><div class="wpb_column vc_column_container vc_col-sm-6"><div class="vc_column-inner"><div class="wpb_wrapper"><div class="dhvc-form-group dhvc-form-secondps-box dhvc_form_text "> <label class="dhvc-form-label" for="dhvc_form_control_secondps">Parent/Guardian First Name</label> <div class="dhvc-form-input "> <input data-field-name="secondps" autocomplete="off" type="text" id="dhvc_form_control_secondps" name="secondps" value="" class="dhvc-form-control dhvc-form-control-secondps dhvc-form-value " placeholder="" > </div></div> </div></div></div><div class="wpb_column vc_column_container vc_col-sm-6"><div class="vc_column-inner"><div class="wpb_wrapper"><div class="dhvc-form-group dhvc-form-lastps-box dhvc_form_text "> <label class="dhvc-form-label" for="dhvc_form_control_lastps">Parent/Guardian Last Name</label> <div class="dhvc-form-input "> <input data-field-name="lastps" autocomplete="off" type="text" id="dhvc_form_control_lastps" name="lastps" value="" class="dhvc-form-control dhvc-form-control-lastps dhvc-form-value " placeholder="" > </div></div> </div></div></div></div></div><div class="vc_row wpb_row section vc_row-fluid vc_inner " style=' text-align:left;'><div class=" full_section_inner clearfix"><div class="wpb_column vc_column_container vc_col-sm-6"><div class="vc_column-inner"><div class="wpb_wrapper"><div class="dhvc-form-group dhvc-form-spaddress-box dhvc_form_text "> <label class="dhvc-form-label" for="dhvc_form_control_spaddress">Parent/Guardian Address ( Only provide if different from Student Address)</label> <div class="dhvc-form-input "> <input data-field-name="spaddress" autocomplete="off" type="text" id="dhvc_form_control_spaddress" name="spaddress" value="" class="dhvc-form-control dhvc-form-control-spaddress dhvc-form-value " placeholder="" > </div></div> </div></div></div><div class="wpb_column vc_column_container vc_col-sm-6"><div class="vc_column-inner"><div class="wpb_wrapper"><div class="dhvc-form-group dhvc-form-scityp-box dhvc_form_text "> <label class="dhvc-form-label" for="dhvc_form_control_scityp">Parent/Guardian City, State & Zip ( Only provide if different from Student Address)</label> <div class="dhvc-form-input "> <input data-field-name="scityp" autocomplete="off" type="text" id="dhvc_form_control_scityp" name="scityp" value="" class="dhvc-form-control dhvc-form-control-scityp dhvc-form-value " placeholder="" > </div></div> </div></div></div></div></div><div class="vc_row wpb_row section vc_row-fluid vc_inner " style=' text-align:left;'><div class=" full_section_inner clearfix"><div class="wpb_column vc_column_container vc_col-sm-6"><div class="vc_column-inner"><div class="wpb_wrapper"><div class="dhvc-form-group dhvc-form-occupation-box dhvc_form_text "> <label class="dhvc-form-label" for="dhvc_form_control_occupation">Parent/Guardian Occupation</label> <div class="dhvc-form-input "> <input data-field-name="occupation" autocomplete="off" type="text" id="dhvc_form_control_occupation" name="occupation" value="" class="dhvc-form-control dhvc-form-control-occupation dhvc-form-value " placeholder="" > </div></div> </div></div></div><div class="wpb_column vc_column_container vc_col-sm-6"><div class="vc_column-inner"><div class="wpb_wrapper"><div class="dhvc-form-group dhvc-form-employer-box dhvc_form_text "> <label class="dhvc-form-label" for="dhvc_form_control_employer">Parent/Guardian Employer</label> <div class="dhvc-form-input "> <input data-field-name="employer" autocomplete="off" type="text" id="dhvc_form_control_employer" name="employer" value="" class="dhvc-form-control dhvc-form-control-employer dhvc-form-value " placeholder="" > </div></div> </div></div></div></div></div><div class="vc_row wpb_row section vc_row-fluid vc_inner " style=' text-align:left;'><div class=" full_section_inner clearfix"><div class="wpb_column vc_column_container vc_col-sm-6"><div class="vc_column-inner"><div class="wpb_wrapper"><div class="dhvc-form-group dhvc-form-sphone-box dhvc_form_text "> <label class="dhvc-form-label" for="dhvc_form_control_sphone">Parent/Guardian Home Phone Number</label> <div class="dhvc-form-input "> <input data-field-name="sphone" autocomplete="off" type="text" id="dhvc_form_control_sphone" name="sphone" value="" class="dhvc-form-control dhvc-form-control-sphone dhvc-form-value " placeholder="" > </div></div> <div class="dhvc-form-group dhvc-form-sphone-box dhvc_form_text "> <label class="dhvc-form-label" for="dhvc_form_control_sphone">Parent/Guardian Email</label> <div class="dhvc-form-input "> <input data-field-name="sphone" autocomplete="off" type="text" id="dhvc_form_control_sphone" name="sphone" value="" class="dhvc-form-control dhvc-form-control-sphone dhvc-form-value " placeholder="" > </div></div> </div></div></div><div class="wpb_column vc_column_container vc_col-sm-6"><div class="vc_column-inner"><div class="wpb_wrapper"><div class="dhvc-form-group dhvc-form-scellphone-box dhvc_form_text "> <label class="dhvc-form-label" for="dhvc_form_control_scellphone">Parent/Guardian Cell Phone Number</label> <div class="dhvc-form-input "> <input data-field-name="scellphone" autocomplete="off" type="text" id="dhvc_form_control_scellphone" name="scellphone" value="" class="dhvc-form-control dhvc-form-control-scellphone dhvc-form-value " placeholder="" > </div></div> </div></div></div></div></div><div class="dhvc-form-action dhvc_form_submit_button "><button type="submit" class="button dhvc-form-submit"><span class="dhvc-form-submit-label">Submit</span><span class="dhvc-form-submit-spinner"></span></button></div></div><div class="dhvc-form-step-content dhvc-form-step-content-4"> <div class="vc_row wpb_row section vc_row-fluid vc_inner " style=' text-align:left;'><div class=" full_section_inner clearfix"><div class="wpb_column vc_column_container vc_col-sm-12"><div class="vc_column-inner"><div class="wpb_wrapper"><div class="dhvc-form-group dhvc-form-programs-box dhvc_form_checkbox "> <label class="dhvc-form-label">What program(s) are you applying to? <span class="required">*</span></label> <div class="dhvc-form-checkbox"> <label class="" for="dhvc_form_control_preschool_6039a20863619" ><input data-field-name="programs" data-name="programs" type="checkbox" class="dhvc-form-value dhvc-form-control-programs dhvc-form-required-entry" id="dhvc_form_control_preschool_6039a20863619" name="programs[]" value="preschool"><i></i>Preschool Program - Ages 3 - 5 </label> <label class="" for="dhvc_form_control_toddler_6039a208636ad" ><input data-field-name="programs" data-name="programs" type="checkbox" class="dhvc-form-value dhvc-form-control-programs " id="dhvc_form_control_toddler_6039a208636ad" name="programs[]" value="toddler"><i></i>Toddler Program -Age 24 - 36 mos</label> <label class="" for="dhvc_form_control_careprog_6039a2086370f" ><input data-field-name="programs" data-name="programs" type="checkbox" class="dhvc-form-value dhvc-form-control-programs " id="dhvc_form_control_careprog_6039a2086370f" name="programs[]" value="careprog"><i></i>After Care Program </label> </div></div> </div></div></div></div></div><div class="vc_row wpb_row section vc_row-fluid vc_inner " style=' text-align:left;'><div class=" full_section_inner clearfix"><div class="wpb_column vc_column_container vc_col-sm-12"><div class="vc_column-inner"><div class="wpb_wrapper"><div class="dhvc-form-group dhvc-form-interest-box dhvc_form_select "> <label class="dhvc-form-label" for="dhvc_form_control_interest">We are interested in starting: <span class="required">*</span></label> <div class="dhvc-form-select"> <select data-field-name="interest" data-name="interest" id="dhvc_form_control_interest" name="interest" class="dhvc-form-control dhvc-form-control-interest dhvc-form-value dhvc-form-required-entry" required aria-required="true" > <option value="fall2020">Sep 2020 - Aug 2020</option><option value="fall2021">Sep 2021 - Aug 2022</option><option value="fall2022">Sep 2022 - Aug 2023</option><option value="fall2023">Sep 2023 - Aug 2024</option></select><i class="fa fa-caret-down"></i> </div></div> </div></div></div></div></div><div class="vc_row wpb_row section vc_row-fluid vc_inner " style=' text-align:left;'><div class=" full_section_inner clearfix"><div class="wpb_column vc_column_container vc_col-sm-12"><div class="vc_column-inner"><div class="wpb_wrapper"><div class="dhvc-form-group dhvc-form-childattend-box dhvc_form_text "> <label class="dhvc-form-label" for="dhvc_form_control_childattend">Why are you interested in having your child attend Seneca Village Montessori School? <span class="required">*</span></label> <div class="dhvc-form-input "> <input data-field-name="childattend" autocomplete="off" type="text" id="dhvc_form_control_childattend" name="childattend" value="" class="dhvc-form-control dhvc-form-control-childattend dhvc-form-value dhvc-form-required-entry " required aria-required="true" placeholder="" > </div></div> </div></div></div></div></div><div class="vc_row wpb_row section vc_row-fluid vc_inner " style=' text-align:left;'><div class=" full_section_inner clearfix"><div class="wpb_column vc_column_container vc_col-sm-12"><div class="vc_column-inner"><div class="wpb_wrapper"><div class="dhvc-form-group dhvc-form-personality-box dhvc_form_text "> <label class="dhvc-form-label" for="dhvc_form_control_personality">Please describe your child’s personality, and learning style. <span class="required">*</span></label> <div class="dhvc-form-input "> <input data-field-name="personality" autocomplete="off" type="text" id="dhvc_form_control_personality" name="personality" value="" class="dhvc-form-control dhvc-form-control-personality dhvc-form-value dhvc-form-required-entry " required aria-required="true" placeholder="" > </div></div> </div></div></div></div></div><div class="vc_row wpb_row section vc_row-fluid vc_inner " style=' text-align:left;'><div class=" full_section_inner clearfix"><div class="wpb_column vc_column_container vc_col-sm-12"><div class="vc_column-inner"><div class="wpb_wrapper"><div class="dhvc-form-group dhvc-form-strength-box dhvc_form_text "> <label class="dhvc-form-label" for="dhvc_form_control_strength">Please list your child’s strengths, interests, and talents. <span class="required">*</span></label> <div class="dhvc-form-input "> <input data-field-name="strength" autocomplete="off" type="text" id="dhvc_form_control_strength" name="strength" value="" class="dhvc-form-control dhvc-form-control-strength dhvc-form-value dhvc-form-required-entry " required aria-required="true" placeholder="" > </div></div> </div></div></div></div></div><div class="vc_row wpb_row section vc_row-fluid vc_inner " style=' text-align:left;'><div class=" full_section_inner clearfix"><div class="wpb_column vc_column_container vc_col-sm-12"><div class="vc_column-inner"><div class="wpb_wrapper"><div class="dhvc-form-group dhvc-form-dateofattendance-box dhvc_form_text "> <label class="dhvc-form-label" for="dhvc_form_control_dateofattendance">Previous school(s) attended, with dates of attendance. ( If none, please write "None") <span class="required">*</span></label> <div class="dhvc-form-input "> <input data-field-name="dateofattendance" autocomplete="off" type="text" id="dhvc_form_control_dateofattendance" name="dateofattendance" value="" class="dhvc-form-control dhvc-form-control-dateofattendance dhvc-form-value dhvc-form-required-entry " required aria-required="true" placeholder="" > </div></div> </div></div></div></div></div><div class="vc_row wpb_row section vc_row-fluid vc_inner " style=' text-align:left;'><div class=" full_section_inner clearfix"><div class="wpb_column vc_column_container vc_col-sm-12"><div class="vc_column-inner"><div class="wpb_wrapper"><div class="dhvc-form-group dhvc-form-assessments-box dhvc_form_checkbox "> <label class="dhvc-form-label">Are there any assessments, reports, or documentation regarding this child that we should know about? <span class="required">*</span></label> <div class="dhvc-form-checkbox"> <label class="" for="dhvc_form_control_yes_6039a20867821" ><input data-field-name="assessments" data-name="assessments" type="checkbox" class="dhvc-form-value dhvc-form-control-assessments dhvc-form-required-entry" id="dhvc_form_control_yes_6039a20867821" name="assessments[]" value="yes"><i></i>Yes</label> <label class="" for="dhvc_form_control_no_6039a2086789b" ><input data-field-name="assessments" data-name="assessments" type="checkbox" class="dhvc-form-value dhvc-form-control-assessments " id="dhvc_form_control_no_6039a2086789b" name="assessments[]" value="no"><i></i>No</label> </div></div> </div></div></div></div></div><div class="vc_row wpb_row section vc_row-fluid vc_inner " style=' text-align:left;'><div class=" full_section_inner clearfix"><div class="wpb_column vc_column_container vc_col-sm-12"><div class="vc_column-inner"><div class="wpb_wrapper"><div class="dhvc-form-group dhvc-form-ifyes-box dhvc_form_text "> <label class="dhvc-form-label" for="dhvc_form_control_ifyes">If yes, please explain below</label> <div class="dhvc-form-input "> <input data-field-name="ifyes" autocomplete="off" type="text" id="dhvc_form_control_ifyes" name="ifyes" value="" class="dhvc-form-control dhvc-form-control-ifyes dhvc-form-value " placeholder="" > </div></div> </div></div></div></div></div><div class="vc_row wpb_row section vc_row-fluid vc_inner " style=' text-align:left;'><div class=" full_section_inner clearfix"><div class="wpb_column vc_column_container vc_col-sm-12"><div class="vc_column-inner"><div class="wpb_wrapper"><div class="dhvc-form-group dhvc-form-experienced-box dhvc_form_radio "> <label class="dhvc-form-label">Has your child ever experienced discipline challenges (including suspension or expulsion) in an educational setting? <span class="required">*</span></label> <div class="dhvc-form-radio"> <label class="" for="dhvc_form_control_yes_6039a20868f45" ><input type="radio" class="dhvc-form-value dhvc-form-control-experienced dhvc-form-required-entry" id="dhvc_form_control_yes_6039a20868f45" name="experienced" value="yes"><i></i>Yes</label> <label class="" for="dhvc_form_control_no_6039a20868fe5" ><input type="radio" class="dhvc-form-value dhvc-form-control-experienced " id="dhvc_form_control_no_6039a20868fe5" name="experienced" value="no"><i></i>No</label> </div></div> </div></div></div></div></div><div class="vc_row wpb_row section vc_row-fluid vc_inner " style=' text-align:left;'><div class=" full_section_inner clearfix"><div class="wpb_column vc_column_container vc_col-sm-12"><div class="vc_column-inner"><div class="wpb_wrapper"><div class="dhvc-form-group dhvc-form-tutionbepaid-box dhvc_form_select "> <label class="dhvc-form-label" for="dhvc_form_control_tutionbepaid">How will tuition be paid? <span class="required">*</span></label> <div class="dhvc-form-select"> <select data-field-name="tutionbepaid" data-name="tutionbepaid" id="dhvc_form_control_tutionbepaid" name="tutionbepaid" class="dhvc-form-control dhvc-form-control-tutionbepaid dhvc-form-value dhvc-form-required-entry" required aria-required="true" > <option value="privately">Privately</option><option value="voucher">Voucher/Childcare Subsidy Program</option></select><i class="fa fa-caret-down"></i> </div></div> </div></div></div></div></div><div class="vc_row wpb_row section vc_row-fluid vc_inner " style=' text-align:left;'><div class=" full_section_inner clearfix"><div class="wpb_column vc_column_container vc_col-sm-12"><div class="vc_column-inner"><div class="wpb_wrapper"><div class="dhvc-form-group dhvc-form-goals-box dhvc_form_text "> <label class="dhvc-form-label" for="dhvc_form_control_goals">Please share any additional information you would like us to know about your child or your family, including any areas needing special attention, as well as your goals for your child at our school. <span class="required">*</span></label> <div class="dhvc-form-input "> <input data-field-name="goals" autocomplete="off" type="text" id="dhvc_form_control_goals" name="goals" value="" class="dhvc-form-control dhvc-form-control-goals dhvc-form-value dhvc-form-required-entry " required aria-required="true" placeholder="" > </div></div> </div></div></div></div></div><div class="vc_row wpb_row section vc_row-fluid vc_inner " style=' text-align:left;'><div class=" full_section_inner clearfix"><div class="wpb_column vc_column_container vc_col-sm-12"><div class="vc_column-inner"><div class="wpb_wrapper"><div class="dhvc-form-group dhvc-form-headabout-box dhvc_form_select "> <label class="dhvc-form-label" for="dhvc_form_control_headabout">How did you hear about us? <span class="required">*</span></label> <div class="dhvc-form-select"> <select data-field-name="headabout" data-name="headabout" id="dhvc_form_control_headabout" name="headabout" class="dhvc-form-control dhvc-form-control-headabout dhvc-form-value dhvc-form-required-entry" required aria-required="true" > <option value="instagram">Instagram</option><option value="facebook">Facebook</option><option value="internet">Internet Search</option><option value="friends">Friends or Family</option><option value="other">Other</option></select><i class="fa fa-caret-down"></i> </div></div> </div></div></div></div></div><div class="vc_row wpb_row section vc_row-fluid vc_inner " style=' text-align:left;'><div class=" full_section_inner clearfix"><div class="wpb_column vc_column_container vc_col-sm-12"><div class="vc_column-inner"><div class="wpb_wrapper"><div class="dhvc-form-group dhvc-form-agree-box dhvc_form_checkbox "> <label class="dhvc-form-label">The information I provided in the application above is true. I understand that I am applying for the admission of my child to Seneca Village Montessori School. I also understand that submitting this application does not guarantee the admission of my child to Seneca Village Montessori School. Following receipt of this application, applicants will be placed on a waiting list and will be contacted when space is available. If a space becomes available, an appointment will be made for you to visit the center and a registration fee will be required to secure acceptance. <span class="required">*</span></label> <div class="dhvc-form-checkbox"> <label class="" for="dhvc_form_control_agree_6039a2086c2b8" ><input data-field-name="agree" data-name="agree" type="checkbox" class="dhvc-form-value dhvc-form-control-agree dhvc-form-required-entry" id="dhvc_form_control_agree_6039a2086c2b8" name="agree[]" value="agree"><i></i>I Agree</label> <label class="" for="dhvc_form_control_disagree_6039a2086c37d" ><input data-field-name="agree" data-name="agree" type="checkbox" class="dhvc-form-value dhvc-form-control-agree " id="dhvc_form_control_disagree_6039a2086c37d" name="agree[]" value="disagree"><i></i>I Disagree</label> </div></div> </div></div></div></div></div><div class="vc_row wpb_row section vc_row-fluid vc_inner " style=' text-align:left;'><div class=" full_section_inner clearfix"><div class="wpb_column vc_column_container vc_col-sm-12"><div class="vc_column-inner"><div class="wpb_wrapper"><div class="dhvc-form-group dhvc-form-submittion-box dhvc_form_datetime "> <label class="dhvc-form-label" for="dhvc_form_control_submittion">Date Submitted <span class="required">*</span></label> <div class="dhvc-form-input dhvc-form-has-add-on"> <input readonly data-field-name="submittion" type="text" id="dhvc_form_control_submittion" data-year-start="1950" data-year-end="2050" data-min-date="false" data-max-date="false" name="submittion" class="dhvc-form-control dhvc-form-value dhvc-form-control-submittion dhvc-form-datepicker dhvc-form-control dhvc-form-required-entry" required aria-required="true" placeholder="" > <span class="dhvc-form-add-on"><i class="fa fa-calendar"></i></span> </div> </div> </div></div></div></div></div><div class="dhvc-form-action dhvc_form_submit_button "><button type="submit" class="button dhvc-form-submit"><span class="dhvc-form-submit-label">Submit</span><span class="dhvc-form-submit-spinner"></span></button></div></div></div></div></div></div></div></div> </div><div class="dhvc-form-message dhvc-form-message-bottom" style="display:none"></div> <div style="display: none;"> <input type="hidden" name="action" value="dhvc_form_ajax"> <input type="hidden" id="_dhvc_form_current_step" name="_dhvc_form_current_step" value="1"> <input type="hidden" id="_dhvc_form_steps" name="_dhvc_form_steps" value="4"> <input type="hidden" id="_dhvc_form_hidden_fields" name="_dhvc_form_hidden_fields" value=""> <input type="hidden" name="_dhvc_form_id" value="663"> <input type="hidden" name="_dhvc_form_url" value="https://senecavillagemontessori.com/admissions-application/"> <input type="hidden" name="_dhvc_form_referer" value=""> <input type="hidden" name="_dhvc_form_post_id" value="588"> <input type="hidden" name="_dhvc_form_nonce" value="c7208dd1df"> </div> </form> </div> </div> </div> </div></div></div><div class="wpb_column vc_column_container vc_col-sm-2"><div class="vc_column-inner"><div class="wpb_wrapper"></div></div></div></div></div> <p> </p> <p>
