Request edit access
2018-2019 Application for Admission or Re-Enrollment
Please note, applications may be completed and submitted online, but they will not be processed until you have attended one of our Admission Talk & Tours and submitted the $75.00 application fee (which can be paid at the Apply On-line page on our website (www.columba.org ), sent by mail or dropped by our office at 4201 Albemarle St. NW, WDC 20016).
PLEASE COMPLETE ONE APPLICATION PER CHILD (sibling apps need separate applications).
Please indicate your program preferences (please check all programs in which you wish to enroll). *
Required
Child's Last Name *
Please type responses carefully as this will be the information used to contact you.
Your answer
Child's First Name *
Your answer
Name Child is Called *
Your answer
Gender *
Date of Birth *
Your answer
Place of Birth
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Home Phone *
Your answer
Parent/Guardian Name (1) *
Your answer
Parent/Guardian Email (1) *
Your answer
Parent/Guardian Employer/Occupation (1) *
Your answer
Parent/Guardian Cell Phone (1) *
Your answer
Parent/Guardian Address (1) *
Your answer
Parent/Guardian Name (2)
Your answer
Parent/Guardian Email (2)
Your answer
Parent/Guardian Employer/Occupation (2)
Your answer
Parent/Guardian Cell Phone (2)
Your answer
Parent/Guardian Address (2)
If different than above.
Your answer
Are you a member of St. Columba's Parish? *
Required
Religious Affiliation
Your answer
Did siblings or others in your family attend St. Columba's Nursery School? *
Required
Has your child had other school experiences? *
Your answer
Please let us know about other children in your family.
Please indicate the Name(s), Age, Gender, and Attending school of siblings.
Your answer
Is your Child a Special Needs Applicant? *
Required
If yes, Please explain briefly.
Your answer
Do you wish to apply for financial aide (this WILL NOT affect your child's application. Information will be sent to you.) *
Required
How did you learn about St. Columba's Nursery School? *
Your answer
Child's race or ethnic/cultural heritage? (This questions is optional! Accurate information about our students helps us with grant applications and other statistical requests).
Your answer
Electronic Signature *
By "signing" below and submitting this application I agree to having my application processed for admissions. I understand that enrollment is for the entire school-year. If this application is accepted and my child enrolle, I hereby agree to meet the financial obligations as stated in the School's Tuition Contract.
Your answer
Date Submitted *
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of St. Columba's Episcopal Church. Report Abuse - Terms of Service