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Student Interest Form
Please fill out the form below and a faculty member will reach out to you. Thank you!
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* Indicates required question
Email
*
Your email
Date
*
MM
/
DD
/
YYYY
Student's Name
*
Your answer
Student's Age
*
Almost 3
3
4
5
6
7
8
9
Other:
Your name
Your answer
Relationship to child
Your answer
Best phone number to contact you
Your answer
Email address
Your answer
Child’s Birthday
*
MM
/
DD
/
YYYY
When are you looking to send your child to the Waldessori Schoolhouse?
Your answer
What city will the child be commuting from?
Your answer
How did you hear about the Waldessori Schoolhouse?
Your answer
What interested you in the Waldessori Schoolhouse?
Your answer
How many days per week are you interested in?
*
2 days
3 days
5 days
Summer camp only
Are you homeschooling right now/will you be on days off? If so, what curriculum do you follow?
*
Your answer
Has your child been in school before? If so, what school(s) and state reason for leaving.
Your answer
Describe your child's experience at their previous or current school? What is the teaching style of the school? Please describe the environment.
Your answer
Has your child received any specialized therapies? (OT, Speech, etc) If so, which ones?
Your answer
Has your child undergone any assessments (psychoeducational, neuropsychological, etc.)
*
1) in the process
2) has not had an assessment done and there are no concerns that warrant one at this time
3) has not had an assessment but may undergo one in the future
Why do you think Waldorf and/or Montessori is a good fit for your child?
Your answer
My child is.....
*
Choose
Up to date on vaccines
Previously vaccinated, but will no longer receive more
Submitting an exemption for all
Currently following a delayed schedule
Does your child have any allergies?
Your answer
What is your child's diet like on a typical day?
Organic Whole Foods
Gluten-Free/avoiding allergies
Refined Sugar-Free
PALEO
No set diet
Other:
Does your child get screen time? If so, at what frequency and how much per day?
Your answer
What does your child like to play with?
Your answer
What is your child's routine (on a typical day)?
Your answer
What is your child's response to frustration, separation, or changes?
Your answer
What are your parent practices like? How do you address behavior?
Your answer
How long do you expect your child to attend the Waldessori Schoolhouse?
Your answer
Please describe your child's personality.
Your answer
Is there anything else we should know about your child?
Your answer
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