APPLICATION FOR ADMISSION Child's Name * First Name Last Name Date of Birth * (if not yet born, please provide due date) MM DD YYYY Do you qualify for the Child Care Assistance Program (financial aid)? * If unsure, see if you are eligible: http://www.dhs.state.il.us/applications/ChildCareEligCalc/eligcalc.html * Yes No Gender * Male Female Unknown Have you attended or registered for an Info Session at Montessori Foundations? Yes No Parent 1 Name * Parent 1 Address * Parent 1 Phone Number * Parent 1 E-Mail Address * Parent 2 Name Parent 2 Address Parent 2 Phone Number Parent 2 E-Mail Address Why are you interested in enrolling your child in Montessori Foundations of Chicago? * The Montessori curriculum is designed as three year cycles: ages 0-3 and 3-6 (which includes the Kindergarten year). Enrolling in our program requires a 3 year commitment. Do you intend to finish the full cycle? * Yes No Not Sure Has your child attended any other school? If so, which one and why did you choose to leave. * Does your child have any siblings? Where do they go to school? * Do you have any particular concerns about your child’s academic or social/emotional development? * Has your child ever been recommended for any type of educational or developmental screening? If so, describe. * Checkbox * How did you hear about us? (choose all that apply) MFC friend/family Non MFC friend/family Web search MFC website Walk/drive by Facebook/Social Media Chicago Early Learning/DFSS/CPS Magazine/Newspaper Advertisement Thank you for submitting your application!
