City of Knowledge K-6th School Application for Admission
Email contact for this application *
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STUDENT INFORMATION
Student Name: *
Last/Middle/First
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Grade Entering *
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Address: *
Street/City/State/Zip
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Phone Number: *
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DOB: *
MM/DD/YYYY
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Sex: *
Birthplace: *
City/State/Country
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STUDENT DEVELOPMENTAL INFORMATION
Name of School Last Attended: *
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Type of School: *
School Address:
Street/City/State/Zip
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List all schools attended by child:
School/Address/Grade/Years Attended
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STUDENT DEVELOPMENTAL INFORMATION
Do any of following factors apply in your child’s life: absence of father or mother, adoption, in-laws or grandparents in the home, unusual accidents or serious illness, disability, or other? *
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Does your child have any limitations, which would hinder him/her from normal progress in a regular classroom setting? If so explain *
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Has your child ever lived outside the United States? *
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If so, where?
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When & for how long?
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What is the predominant language in your home? *
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What language is spoken by the mother/father? *
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List languages in which your child is proficient: *
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STUDENT INTERESTS:
What are your child's favorite hobbies:
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What are your child’s favorite sports?
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What are your child’s special talents?
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FAMILY INFORMATION:
FAMILY INFORMATION *
Father or Legal Guardian Name:
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Father or Legal Guardian's Phone Number: *
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Father or Legal Guardian's Address: *
Street/City/Zip
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Father or Legal Guardian's Occupation: *
Occupation/Employer Name:
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Father or Legal Guardian's Employer Address: *
Street/City/Zip
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Mother's Name: *
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Mother's Phone Number *
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Mother's Address: *
Street/City/Zip
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Mother's Occupation: *
Occupation/Employer Name:
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Mother's Employer Address: *
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Relationship of Parents: *
Married/Divorced
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Siblings *
Name/Age:
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PARENT EXPECTATIONS
What are your expectations for your child’s education at this school? *
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What do you feel are the responsibilities of the school? *
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What do you expect from the school in terms of discipline? *
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Are you interested in being an involved parent? *
If so, how would you like to contribute?
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Are you interested in the school providing extracurricular activities for you child? *
If so, what activities would you like to see made available?
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APPLICATION STATEMENT
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