Pre-Admissions Information Request

As part of the admissions process, we would appreciate your school providing information regarding days absent, tardy, disciplinary incidences, and support plans in place for this student. Be assured that all of the information you provide will be held in strict confidence.

* Indicates required field

Your Name *

First

Last

School's Name *

Email *

Phone Number *

Student Name *

First

Last

Caregiver Name(s) *

How many days has this student been absent in the current and past school year? Please list each year separately. *

How many days has this student been tardy in the current and past school year? Please list each year separately. *

How many discipline occurrences has this student had? *

Please explain: *

Does this student have any support plans in place? *

Please explain: *

Any further questions or comments: *

Thank you for taking time to complete this questionnaire. Please review all of your answers caregully before submitting your form. Once the form is submitted, it will be sent directly to our Administrative Assistant.

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Pre-Admissions Information Request

Pre-Admissions Information Request

The Montessori School