Application for Admission
All information on this application is kept confidential.

Isthmus Montessori Academy Public
1802 Pankratz Street
Madison, WI 53704
(608) 620-6002
info@imapublic.org
isthmusmontessoriacademy.org

Notice of Nondiscriminatory Policy
Isthmus Montessori Academy Public does not discriminate on the basis of race, color, gender, religion, disability, sexual orientation, national and/or ethnic origin in the admissions process, its educational policies, programs, and activities, or employment.
Name of Child: First, MI, Last *
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Preferred Name of Child (if applicable)
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Date of Birth *
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Place of birth:
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Sex assigned at birth:
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Parent/Guardian Name in Full: *
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Address:
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Telephone: (please specify if cell or home)
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Alternate Telephone
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Email:
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Preferred Method of Contact: (phone or email) *
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Occupation:
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Employer:
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Business Phone:
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Parent/Guardian Name in Full:
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Address:
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Telephone (please specify if cell or home)
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Email:
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Occupation:
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Employer:
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Business Phone:
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Check Which Applies:
With whom is the child living?
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Who is legal guardian?
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Does anyone else regularly care for the child?
If yes, who else cares for the child?
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When does this individual care for the child?
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Isthmus Montessori Academy Public is committed to enrolling a community that reflects the diversity of the Madison Area, including that of race, ethnicity, family structure, gender identity, sexual orientation, religion, and socio-economics. *The following information is helpful to us, but it is optional. All information is kept confidential.*
Religion:
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Race:
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Primary Language:
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Ethnic Origin:
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Gender Identity:
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Other Language(s) spoken:
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Level Applying for:
*Program times may be subject to change
Academic Year: *
Level: *
*IMA, Inc. provides on site care for children 2 months - 3 years., 4K Wraparound Care, and Before Care and After Care for IMAP students.
By checking the box below, I am giving IMAP permission to submit my application information to IMA, Inc.
How did you hear about IMAP?
Other school(s) attended by the child (Please include name, address, dates attended):
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Does the child have siblings?
If yes, what are their names and ages?
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What goals do you have for your child at school?
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What are your child's strengths and unique characteristics?
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Have you had any previous experience with Montessori Education?
If yes, where or how?
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What specific aspect(s) of Montessori education appeal to you?
What are some of the most important values in your family?
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*Submission of a completed Application for Admission to IMAP does not secure or guarantee a place for your child.
Electronic signature date: *
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Electronic parent / guardian signature: *
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All information on this application is kept confidential. Please click below to submit your completed Application for Admission.
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