[/vc_column_text][/vc_column][/vc_row] Student Information Parent/Guardian #1 Information Parent/Guardian #2 Information Program Information Student's First Name * Student's Last Name * Student's Birthday Student's Address * Student's City, State & Zip * Student's Gender * Male Female Student Photo * Browse Please upload a recent photo of your child Submit Parent/Guardian First Name * Parent/Guardian Last Name * Parent/Guardian Address ( Only provide if different from Student Address) * Parent/Guardian City, State & Zip ( Only provide if different from Student Address) * Parent/Guardian Occupation * Parent/Guardian Employer * Parent/Guardian Home Phone Number * Parent/Guardian Email * Parent/Guardian Cell Phone Number * Submit Parent/Guardian First Name Parent/Guardian Last Name Parent/Guardian Address ( Only provide if different from Student Address) Parent/Guardian City, State & Zip ( Only provide if different from Student Address) Parent/Guardian Occupation Parent/Guardian Employer Parent/Guardian Home Phone Number Parent/Guardian Email Parent/Guardian Cell Phone Number Submit What program(s) are you applying to? * Preschool Program - Ages 3 - 5 Toddler Program -Age 24 - 36 mos After Care Program We are interested in starting: * Sep 2020 - Aug 2020Sep 2021 - Aug 2022Sep 2022 - Aug 2023Sep 2023 - Aug 2024 Why are you interested in having your child attend Seneca Village Montessori School? * Please describe your child’s personality, and learning style. * Please list your child’s strengths, interests, and talents. * Previous school(s) attended, with dates of attendance. ( If none, please write "None") * Are there any assessments, reports, or documentation regarding this child that we should know about? * Yes No If yes, please explain below Has your child ever experienced discipline challenges (including suspension or expulsion) in an educational setting? * Yes No How will tuition be paid? * PrivatelyVoucher/Childcare Subsidy Program 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. * How did you hear about us? * InstagramFacebookInternet SearchFriends or FamilyOther 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. * I Agree I Disagree Date Submitted * Submit