Online Application
After completing and submitting the application please scroll to the top of the page for further instructions. Thank you.
School year you are applying for *
Program Desired? *
Are you applying for an Ohio EdChoice Scholarship? *
Required
Are you applying for a low-income Ohio EdChoice Scholarship? *
Required
Student's Personal Information
Student's Full Name *
Your answer
Name Student is Called *
Your answer
Student's Birthday *
MM
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DD
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YYYY
Student's Gender *
Student's Birthplace *
Your answer
Student's Ethnicity
Father or Guardian Personal Information
Father's (or Guardian's) Full Name
Your answer
Father's (or Guardian's) Email Address
Your answer
Father's (or Guardian's) Home Phone
Your answer
Father's (or Guardian's) Cell Phone
Your answer
Father's (or Guardian's) Address
Address, City, State, Zipcode
Your answer
Father's (or Guardian's) Employer
Your answer
Father's (or Guardian's) Job Title
Your answer
Father's (or Guardian's) Business Address
Address, City, State, Zipcode
Your answer
Father's (or Guardian's) Business Phone
Your answer
Mother or Guardian Personal Information
Mother's (or Guardian's) Full Name
Your answer
Mother's (or Guardian's) Email
Your answer
Mother's (or Guardian's) Home Phone
Your answer
Mother's (or Guardian's) Cell Phone
Your answer
Mother's (or Guardian's) Address (if different than father's address)
Address, City, State, Zipcode
Your answer
Mother's (or Guardian's) Employer
Your answer
Mother's (or Guardian's) Job Title
Your answer
Mother's (or Guardian's) Business Address
Address, City, State, Zipcode
Your answer
Mother's (or Guardian's) Business Phone
Your answer
Grandparent's Contact Information
We would like to send the Grandparents our annual Newsletter and other correspondence. If we have permission to do so, please list their names(s) and address(es) and email(s)
Grandpa's Full Name
Your answer
Grandpa's Address, City, State, Zip
Your answer
Grandpa's Email
Your answer
Grandma's Full Name
Your answer
Grandma's Address, City, State, Zip
Your answer
Grandma's Email
Your answer
Student's General Information
Please list previous school(s), if any, the child has attended:
Your answer
Names and birth dates of siblings:
Your answer
School(s) they attend:
Your answer
Public school district you reside in:
Your answer
Public school your child would be assigned to:
Your answer
Student's Religious Affiliation
Religious Affiliation *
Required
Parish / Church
Your answer
Date of Baptism:
Your answer
First Eucharist:
Your answer
Student's Background Information
Please use 5-10 words or phrases to describe your child: *
Your answer
Why would you like your child to attend The Good Shepherd Catholic Montessori? *
Your answer
What was this student’s first language? *
Your answer
What language does this student most frequently speak? *
Your answer
What language is most often spoken by the adults at home? *
Your answer
Does your child have any special needs (e.g. diet, allergies, vision, hearing, special academic or social needs)? *
(Please describe in detail)
Your answer
Has a professional ever indicated to you that your child has any learning, attention or other special needs? *
[If yes, please briefly describe below and attach to this application the professional’s name, place of employment, date of evaluation, recommendations for treatment/accommodations, and signed permission to speak with the professional.
Your answer
Does your child currently have an Individualized Education Plan (IEP)? *
Required
Is your child currently on the Jon Peterson Scholarship? *
Required
Are you planning to apply for the Jon Peterson Scholarship? *
Required
Do you now or have you ever had concerns about your child’s development or behavior? *
Your answer
How did you hear about The Good Shepherd Catholic Montessori? *
Your answer
Who has financial responsibility for your child’s tuition? *
Your answer
I/we understand that the Montessori pre-primary program is a multi-year program, starting with the child’s entrance at the preschool level and continuing through the child’s kindergarten year. It is my/our intent to utilize the full scope of this program through the completion of kindergarten.

Please note that submitting an application for enrollment does not guarantee your child’s admittance to The Good Shepherd Catholic Montessori. Enrollment is complete when the family is formally accepted (in writing) and returns a completed tuition contract to the school.

Parent/Guardian Initials *
Your answer
Date *
MM
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YYYY
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This form was created inside of The Good Shepherd Catholic Montessori School.