MA Questionnaire

Application Questionnaire

Toddler - Middle School Applicants
Please take a few minutes to tell us more about you and your child. The completion of this form is required in order to process the student application. Thank you!
Parent Name

First NameLast Name
Parent Email Address
Child's Name

First NameLast Name
Date of Birth or Expected Delivery

MonthDayYear
Which level at Montessori Academy are you applying for?
When is your preferred start date?
Why are you choosing Montessori Education for your child?
Which public school is your child zoned for?
Has your child attended a day care center, preschool or other school? If yes, where?
Was it a positive or negative experience for your child? (Please explain.)
Why do you feel Montessori Academy is a good match for your child and your family?
How do you envision your role in your child’s education?
Are you willing to further educate yourself about Montessori Education?
Toddler Level Only: Tell us about the pregnancy and birth of your child.
Primary & Lower E. Levels Only: Was your child born prematurely,or are there other circumstances you'd like to share with us?
Describe your child’s current social behaviors with other children in the family.
Describe your child’s current social behaviors in play groups.
What are your child’s behavioral/social or cognitive strong points?
What are your child’s behavioral/social or cognitive challenges?
What are your child’s interests and favorite activities away from school?
What does your child most enjoy in individual play/down time?
What are your child’s special interests and inclinations?
How do you discipline your child?
Do you have ground rules at home that he/she must adhere to? What are they?
Does your child have responsibilities within your home? Explain them.
Describe a significant milestone that your child has met within the last six months.
How many hours does your child sleep within a 24 hour period? For younger children, please include details regarding napping.
Describe your child’s eating habits.
How does your child typically express his/her needs and feelings?
Describe what activities your family does together:
How do you spend time specifically and exclusively with your child?
Do you have any specific academic or social goals for your child during the years they attend Montessori Academy?
How many languages are spoken in your home?
What is your native language?
Who has been your child’s primary care giver from birth to present?
Does your child have any problems with separation?
In the past two years, has your family experienced any significant changes that may have affected your child? Examples might include: illness, death, relocation, or changes in finances or family composition. If yes, please explain.
Do you allow your child to use a computer or play video games?
If so, which programs, software or games?
Do you allow your child to watch television/movies? How many hours per day?
Which television programs?
Describe your child’s previous educational experiences. What were the positive aspects and what were the challenges?
Has your child ever been accelerated, held back, or dismissed by a school? If yes, please explain.
Has your child ever gone under diagnostic or evaluative testing for learning differences or psychological or psychiatric concerns, either in the school or outside the school? If yes, please explain.
Has your child had any academic challenges that require tutoring or remedial assistance? If yes, please explain.
Montessori Academy serves students ages 18 months - High School. How long do you plan to keep your child at Montessori Academy?
To what other schools is your child currently applying?
Should be Empty:

Application Questionnaire

Please take a few minutes to tell us more about you and your child. The completion of this form is required in order to process the student application. Thank you!