Student's Full Name
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First Name
Last Name
Email
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Applying for Academic Year
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Applying for Grade
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Gender
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Date of Birth
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Age
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Current Grade
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Home Address, City, State, Zip
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Home Phone Number
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(###)
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Cell Phone Number
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(###)
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Name
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First Name
Last Name
Place of Employment
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Occupation
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Work Address
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Work Phone
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(###)
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Cell Phone
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(###)
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Email
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Name
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First Name
Last Name
Place of Employment
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Occupation
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Work Address
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Work Phone
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(###)
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Cell Phone
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(###)
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Email
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1. Name, Age, and School
2. Name, Age, and School
3. Name, Age, and School
Please list any other schools the applicant has attended. Include the school names, locations, grades attended and dates of attendance.
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If home schooled, indicate child's age when homeschooling began:
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Has your child ever repeated or skipped a grade? If so, please explain.
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Has your child ever been evaluated with a formal educational or psychological battery of testing?
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If yes, please provide copies of all test reports/results with this application.
Does your child have an Individualized Educational Plan (IEP)?
If yes, please provide copies of all IEP documentation with this application.
Do you suspect or have you identified that your child may have a learning disability?
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If yes, please explain.
If yes, please explain.
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What special talents or interests does your child have (ie athletics, art, academic, music, etc.)?
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Are there any particular academic or personal goals that you have established for your child that you would like the school to be aware of?
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Does your child have any allergies or physical limitations? Please explain.
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Please list any medication your child may be using during the school year.
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Is your child seeing any medical professionals on a regular basis? If so, please explain.
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Is there anything about your child- academically, physically, or emotionally- that we should be made aware of at this time?
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How did you hear about Crestwood Day School?
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Explain why you have chosen Crestwood Day School for your child:
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How can CDS best nurture and care for your child?
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How would you describe your understanding of the educational philosophy of Charlotte Mason? What are some aspects of her philosophy that resonate with you?
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If your family is involved in a local church, what church do you attend?
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How does the fact that CDS is a “Christ-centered” school impact your decision to apply?
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Name of person(s) responsible for tuition and expenses:
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After completing this application I will pay the $50 non-refundable application fee online.
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Signature of Parent or Guardian
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Date
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