Application | The Montessori School in Fairfield County CT

Application for Admission

The Montessori School Mission Statement

To respect children as self-directed individuals and foster their growth toward
independence and social responsibility.
To adhere to the philosophy of Dr. Maria Montessori and maintain the standard
of the Association Montessori Internationale
To create a joyful, diverse, family-oriented community, which provides an atmosphere
that supports the growth of the child.
To inspire the child to live both passionately and compassionately in a global community.

Child's First and Last Name*

Child's Nickname*

Child's Date of Birth* (mm/dd/yyyy)

Gender*

Male Female

Parent 1 First and Last Name*

Parent 1 - Gender*

Male Female

Parent 1 - Email*

Parent 1 - Phone #*

Parent 1 and Child - Home Address *

City*

State*

Zip*

Parent 1 - Occupation*

Parent 1 - Employer Name/Address/Phone #*

Parent 2 First and Last Name

Parent 2 - Gender

Male Female

Parent 2 - Email

Parent 2 - Phone #

Parent 2 - Home Address if same as Child's select YES and leave address fields blank

Yes No

Parent 2 - Address (If different from child's address)

City

State

Zip

Parent 2 - Occupation

Parent 2 -Employer Name/Address/Phone #

Family status:*

Parents living together Divorced Separated

Ethnicity: How would you describe your ethnic/cultural background? (Optional)

Please list names of other children in the family:

List children in order, oldest to youngest, separate each name with a comma.

Please list date of birth for each child:

Date format mm/dd/yyyy - Same order as noted above, separate each DOB with a comma.

Please list names of others living in the household:

Have any siblings/relatives attended The Montessori School?*

Yes No

If yes, please list name(s) and year graduated:

Child's General Health

Please describe your child's general health:*

Does your child have any allergies:*

Yes No

If yes, please describe allergies:

Has your child had any serious injuries or illnesses?*

Yes No

If yes, please describe injury/illness/diagnoses:

Briefly describe your child's birth and early life: *

Describe your child's toilet learning process:*

Language Ability

Does your child talk?*

Yes No

One-word sentences?*

Yes No

Phrases?*

Yes No

Full sentences?*

Yes No

Does your child use a bottle or pacifier?*

Yes No

Is there more than one language spoken in the home? (if so, please list)*

Yes No

Please list additional languages spoken:

Behavior - Please describe the following:

General temperament:*

Favorite Activities:*

Special experiences/interests:*

Eating Habits:*

Sleeping Habits:*

Social interactions outside of the home:*

Education:

Where/how did you hear about Montessori education?*

Why do you want to send your child to a Montessori program? *

What has been your most helpful parenting resource and why? (friends/family, books, internet) *

Are you interested in a Montessori education for your child beyond the early childhood years?*

Are you applying to other schools in addition to The Montessori School? If so, please indicate which ones.*

Additional comments:

Will you be applying for Financial Aid?*

Yes No

Application Fee - $60

Step 1: Please complete the fields below.
Step 2: Credit Card processing

After completing the form and selecting SUBMIT,
the credit card processing form will become available
to complete the registration process.

Application Fee $60*

Process $60 application fee via credit card

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Thank you!

The Montessori School encourages and highly values active parent participation

in the life and health of the community.

The Montessori School does not discriminate against any person in admissions, financial aid, program involvement, employment, or otherwise because of race, religion, age, gender, natural origin, disability or sexual orientation.

Please send a confirmation email to the address below*: