Council Oak Montessori School
11030 S. LONGWOOD DRIVE
CHICAGO, ILLINOIS 60643
(773) 779-7606
2006-2007 APPLICATION FOR ADMISSION
NAME OF
CHILD__________________________________________
BIRTHDATE__________________ AGE______ SEX_________
CHILDREN'S HOUSE: 3- 6 (1/2 Day)_________ ($4000) 3-
6(Full Day)________($5000) 3- 6 (All Day)________ ($6400)
ELEMENTARY PROGRAM: age 6-9 CLASS ____ age 9-12 CLASS____ age
12-15 CLASS____ ($7000;$6300 Siblings for all classes)
WHEN DO YOU WISH TO ENROLL AT COUNCIL OAK?___________________________
FATHER (OR GUARDIAN)____________________________E-mail________________________
HOME ADDRESS______________________________________________________________
City ___________________ State
______ Zip________ HOME PHONE__________________
BUSINESS/PROFESSION____________________________________________________
NAME OF FIRM____________________________________________________________
BUSINESS ADDRESS________________________________________________________
BUSINESS PHONE____________________________ Zip___________
MOTHER (OR GUARDIAN)____________________________E-mail________________________
HOME ADDRESS______________________________________________________________
City ___________________ State
______ Zip________ HOME
PHONE__________________
BUSINESS/PROFESSION____________________________________________________
NAME OF FIRM____________________________________________________________
BUSINESS ADDRESS________________________________________________________
BUSINESS PHONE____________________________ Zip___________
NAMES OF SIBLINGS BIRTHDATES SCHOOL NOW ATTENDING __________________________________ _____________________ ______________________________________________ __________________________________ _____________________ ______________________________________________
CHILD'S PREVIOUS SCHOOL EXPERIENCE: NAME OF SCHOOL________________________________________PHONE_______________________________________ SCHOOL ADDRESS________________________________________________________ _________________________________________________________________________ZIP____________________________ DATES OF ATTENDANCE_________________________________________________ I AUTHORIZE THE RELEASE OF ANY INFORMATION OR RECORDS FROM THE ABOVE SCHOOL TO COUNCIL OAK MONTESSORI. DATE___________PARENT SIGNATURE_______________________________SOCIAL SECURITY #___________________
We strive to provide the best individualized education possible. Detailed information from you on your individual child is especially helpful to us. Please describe your child's temperament, social relations, interests and special problems.
Has the child been tested or evaluated for any learning problems or is there reason to be concerned about any learning difficulties?
Has the child been tested for any psychological, emotional or behavioral difficulties or is there reason to be concerned about any of these?
What are the child's academic strengths and weaknesses? What are the child's social strengths and weaknesses?
Is there anything the school should know about the child's health?
How do you think the Montessori system will benefit your child?
How did you choose this school for your child? How did you first learn about this school?
A NONREFUNDABLE FEE OF $50.00 IS REQUIRED WITH THIS APPLICATION. ($75.00 AFTER April 1st.)
DATE_______________________ SIGNATURE_________________________________________
Council Oak Montessori School does not discriminate in admissions or placement on the basis of sex, race or creed. Acceptance is based on family commitment to Montessori education and the child's likely long-term attendance at Council Oak. Admission preference will be given to children who have siblings enrolled at Council Oak and to children with previous Montessori experience. All children are admitted on a probationary basis.
DATE RECEIVED__________________ APPLICATION FEE______________________________