Individual Student Applicant Information
Student First Name
Student Last Name
Student birthday
Student Gender
This student is applying for admission to which grade?
What grade is the student currently in?
Please list the school(s) that your child has attended in the past (and the dates of their attendance)
Are there any physical or emotional impairments of which the school should be aware? Is the student on any medications? If so, please describe the reason for the medication, and list medications and dosage.
Does your child currently require any support at home or at school (occupational, physical, speech, tutoring, mental health therapy, medical)? If so, please explain in detail and include all past treatments including start and end date, and attach all supporting documentation (IEP's, testing).
Please list any other schools to which you are applying