Request edit access
Renaissance School Online Admission Application 2018-2019
Email address *
Student’s Name:
Your answer
Current Grade:
Your answer
Current School:
Your answer
Date of Birth:
MM
/
DD
/
YYYY
Home Address:
Your answer
Apartment #:
Your answer
City/Town:
Your answer
State:
Your answer
Zip Code:
Your answer
Home Telephone:
Your answer
Parent/Guardian #1:
Name:
Your answer
Address:
Your answer
Email:
Your answer
Cell:
Your answer
Parent/Guardian #2:
Name:
Your answer
Address:
Your answer
Email:
Your answer
Cell:
Your answer
Please indicate days needed for the following:
Please list days needed for Early Care (7:30 am- 8:20 am)
Your answer
Please list days needed for Late Care (3:10 pm- 5:30 pm)
Your answer
Please respond to the following questions. Your answers will assist us in better understanding your child’s educational needs at Renaissance.
What has prompted your interest in Renaissance School?
Your answer
Please describe your educational goals for your child and how our school fits in to the broader picture.
Your answer
What are your child’s special interests, hobbies, and favorite activities?
Your answer
Please comment briefly on your child’s learning style (e.g. self-motivation, creativity, organization, etc.) and how she/he interacts in social settings with peers and adults.
Your answer
Does your child have any special needs (health, behavioral, social-emotional, physical, etc.) that we should be aware of?
Your answer
Are there any specific issues you would like us to address with us regarding your child?
Your answer
4066 Shelburne Road; Suite 9 Shelburne, Vermont 05482 802-951-1831
Renaissance School admits students regardless of race, color, nationality or ethnicity
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service