2014-2015 Montessori at Flatiron Application

8/10/2019 2014-2015 Montessori at Flatiron Application

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APPLICATION CHECKLIST

Application for AdmissionComplete the Application for Admission and send it to the Admissions Office.

Application FeeSubmit your $125 application fee. Checks should be made payable toTHE MONTESSORI AT FLATIRON.

Teacher/Mentor Evaluation

Applicants who are currently attending an Early Childhood program shouldgive signed copies of Teacher/Mentor Evaluation form to the applicantscurrent teacher/mentor. Ask that they be sent directly to the AdmissionsOffice.

Parent/Guardian StatementComplete the Parent/Guardian Statement and send it to theAdmissions Office.

Letter of RecommendationApplicants who have no prior schooling should have someone who knowsyour child well, but who is not a family relation, send a letter ofrecommendation to the Admissions Office.

All materials can be mailed to:

The Montessori at Flatiron

Admissions Office

5 W. 22ndStreet

New York, NY 10010

Or emailed to:

[email protected]


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APPLICATION FOR ADMISSION for School Year 2014-15

To be completed by parent/guardian

Applicant Information g Non-refundable application fee enclosed ______

Applicants Full Name_______________________________________________________________________

Preferred Name______________________________________________________________________________

Social Security No._________________________

Sex: Male g Female

Date of Birth_________________________________________________________________________________

Age by September 1, 2014 __________ Years __________ Months

Expected Date of Entry______________________________________________________________________

Program (circle one) Toddler Half Day Toddler Full Day Primary Full Day(Limited Availability)

Citizenship____________________________________________________________________________________

Language Spoken at Home_________________________________________________________________

Birthplace/Country__________________________________________________________________________

Home Address______________________________________________________________________________

Telephone________________________________

Email______________________________________


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Names and Dates of Applicants Participation in Other Programs/Groups

Does your child have learning needs? G Yes g No

If yes, please submit current copy of any testing such as an IEP/Psych Evaluation.

Parent/Guardian 1

Dr. g Mr. g Mrs. g Ms. _____________________________________________________________________First Middle Last

Relationship to Child_______________________________

Social Security No.__________________________________

Home Address________________________________________________________________________________

_________________________________________________________________________________________________

Mailing Address (if different from home)__________________________________________________

_________________________________________________________________________________________________

Best way to contact: g Home Telephone g Work Telephone g Cell Phone g Email

Home Telephone ________________________________

Home Fax_________________________________________

Business Telephone______________________________


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Business Fax______________________________________

Cell Phone_________________________ Cell Phone Carrier___________________________

Email_______________________________

Occupation ___________________________________________________________________________________

Employer_____________________________________________________________________________________

Citizen of ___________________________

Primary Language_________________

College(s) Attended__________________________________________________________________________

Firms, Institutions or Foundations served as Director or Trustee_______________________

_________________________________________________________________________________________________

Parent/Guardian 2

Dr. g Mr. g Mrs. g Ms. _____________________________________________________________________First Middle Last

Relationship To Child______________________________

Social Security No.__________________________________

Home Address________________________________________________________________________________

_________________________________________________________________________________________________

Mailing Address (if different from home)__________________________________________________

_________________________________________________________________________________________________


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Best way to contact: g Home Telephone g Work Telephone g Cell Phone g Email

Home Telephone ________________________________

Home Fax_________________________________________

Business Telephone______________________________

Business Fax______________________________________

Cell Phone_________________________ Cell Phone Carrier___________________________

Email_______________________________

Occupation ___________________________________________________________________________________

Employer_____________________________________________________________________________________

Citizen of ___________________________

Primary Language_________________

College(s) Attended__________________________________________________________________________

Firms, Institutions or Foundations served as Director or Trustee_______________________

_________________________________________________________________________________________________

Check all that apply:

Parents Divorced g Mother Deceased g Mother RemarriedParents Separated g Father Deceased g Father Remarried

Applicant lives with__________________________________________________________________________

If parents divorced, name of person with legal custody__________________________________


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Financial correspondence should be mailed to____________________________________________

Copies of financial correspondence should be mailed to_________________________________

General correspondence should be mailed to_____________________________________________

Copies of general correspondence should be mailed to___________________________________

Other children

Name Date of Birth Current School Relationship

Relatives or friends who attend The Montessori at Flatiron


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Grandparents

Parent 1

Grandparents Names________________________________________________________________________________

Mailing Address______________________________________________________________________________________

Parent 2

Grandparents Names________________________________________________________________________________

Mailing Address______________________________________________________________________________________


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Optional Information

Montessori at Flatiron values diversity and seeks talented students, faculty and staff from

diverse backgrounds. Montessori at Flatiron does not discriminate on the basis of race, sex,sexual orientation, religion, color, national or ethnic origin, age, disability, or status as aVietnam Era veteran, disabled veteran or any other class protected by law in theadministration of educational policies, programs, or activities; admissions policies;scholarship and loan awards; athletic or other School-administered programs oremployment.

If you wish to identify yourself as a member of one of the following groups listed below,please check the appropriate box:

g African-American g Asian/Pacific-Islander g Hispanic/Latino

g Native American g Caucasian g Other

Due to the Schools mission to have a diverse student body, and our global approach toeducation, we celebrate the religious diversity of our community.

If you are willing, please share your religious affiliation with us________________________

We are glad that you have applied to Montessori at Flatiron. Please indicate how you

learned about us. (Circle all that apply.)

Current or previous student Neighbor g Newspaper Ad/Article

Current or previous parent g Friend g Website g

Colleague g Other

Financial Aid

Applying for Financial Aid? Yes g No

If yes, please apply online at www.tuitionaid.com


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Disclaimer

( ) I declare that the information reported on the application is true and complete. I

understand that the continued enrollment of the applicant after admission will becontingent upon the completeness and accuracy of these statements.

WAIVER OF ACCESS: All rights of access conferred by the Family Educational Rights andPrivacy Act of 1974 (P.L. 93-80) as amended, or otherwise, to all information and materialsof any kind received by Montessori at Flatiron from any source in connection with theapplication for admission, including this form, are hereby waived.

Signature of Parent/Guardian 1_______________________________________ Date_______________

Signature of Parent/Guardian 2_______________________________________ Date_______________

Confidentiality: Our interpretation of the significant features of the Buckley Amendment:1. Applicants and their families do not have access to their admissions files during theapplication process.2. Non-matriculated, waiting list, and rejected applicants and their families do not haveaccess to their files.3. Matriculated students and their parents do not have access to their files if they havesigned the above waiver.


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TEACHER/MENTOR EVALUATIONto be completed by current teacher/mentor

To the Teacher/Mentor,

The child whose name appears below has applied for admission to The Montessori atFlatiron. Your evaluation is vital to our process. Thank you for taking time to complete thisevaluation. Your reflections are an important part of the childs application.

All information you provide will be held in confidence and disclosed only to the AdmissionsCommittee.

Please complete both sides of this form, make a copy for your records and return to:

The Montessori at Flatiron

5 West 22ndStreet

New York, NY 10010

Applicant Information

Applicants Full Name_______________________________________________________________________

How long have you known the applicant?_________________________________________________

What is your position?_______________________________________________________________________

Number of Children in class/group____________________________


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Academic Qualities - Please rate the applicant in the following areas:

BelowOutstanding Excellent Good Average

Ability to reason ( ) ( ) ( ) ( )

Intellectual curiosity ( ) ( ) ( ) ( )

Desire for learning ( ) ( ) ( ) ( )gMotivation and effort ( ) ( ) ( ) ( )g

Oral expression ( ) ( ) ( ) ( )

Initiative g ( ) ( ) ( ) ( )

Personal Qualities - Please rate the applicant in the following areas:

Outstanding Excellent Good Average

Maturity ( ) ( ) ( ) ( )

Participation in Activities ( ) ( ) ( ) ( )

Consideration of Others ( ) ( ) ( ) ( )gPoliteness ( ) ( ) ( ) ( )g

Classroom/Group Behavior ( ) ( ) ( ) ( )

Reaction to Setbacks ( ) ( ) ( ) ( )

I recommend this applicant ( )Enthusiastically ( )Strongly ( )Without Reservationg

( )With Reservation g( )Not at all

Signature of Teacher/Mentor_________________________________________________ Date________________

Print Name of Teacher/Mentor_____________________________________________________________________Email ______________________________________________ Telephone ______________________________________g ( ) I would like to receive a Montessori at Flatiron information packet


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PARENT/GUARDIAN STATEMENTTo be completed by parent/guardian.

We are interested in parents thoughts about their child. We encourage you to write astatement about your son or daughter describing his/her qualities and what his or her

needs are.

Feel free to attach additional pages if necessary. If there is other information that you feelmay help inform the admission committee please include with this form.

Signature of Parent/Guardian 1_ ___________________________________________Date__________

Signature of Parent/Guardian 2____________________________________________ Date__________


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LETTER OF RECOMMENDATIONTo be completed by someone who knows the applicant but who is not a family relation.

We are interested in your thoughts about the applicant. We encourage you to write astatement describing his/her qualities and the nature of your relationship.

Full Name_____________________________________________________________________________________________First Middle Last

Signature___________________________________________________________________ Date_____________________

Documents

2014-2015 Montessori at Flatiron Application