Applicant InformationChild's Full Name: First Middle Last Application for:*Primary (3-6 yo)Elementary (6-12 yo)Date of birth:*Gender:*FemaleMaleSiblings Names and Ages: Is the child currently enrolled in a primary or Pre-K program?YesNoName of Current School & Grade (if applicable): Teacher's Name: Parent/Guardian InformationParent/Guardian OneName:* First Name Last Name Relationship to child (1): Address (1): Street AddressCityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState / Province / RegionPostal / Zip CodeChild primarily resides at address (1):Phone (1): Area Code - Phone Number E-mail (1):*This is the email address that will be used to verify the submission of this form today.Employer (1): Occupation (1): Work Address (1): Street AddressStreet Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState / Province / RegionPostal / Zip CodeParent/Guardian TwoName (2):* First Name Last Name Relationship to child (2): Address (if different from above): Street AddressCityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState / Province / RegionPostal / Zip CodeChild primarily resides at address (2):Phone (2): Area Code - Phone Number E-mail (2):Employer (2): Occupation (2): Work Address (2): Street AddressStreet Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState / Province / RegionPostal / Zip CodeApplicant Educational Profile - Part IAre you familiar with Montessori education?YesNoHow did you hear about Journey Montessori School?Select valueJourney parentsEducatorFriend/relativeAdvertisementWebsiteOtherWhat are your educational goals for this child?How do you see Journey Montessori School facilitating these goals?As partners in supporting the education of your child, we expect parent(s)/guardian(s) to commit to attend at least two parent education events each school year. In addition, what role can we expect the child's parent(s)/guardian(s) to play in facilitating this child's educational goals?What are your child's interests, strengths, and abilities?Describe your child's social/emotional behavior at home and, if applicable, at school.Please describe any special circumstances (especially allergies or medical restrictions) that should be taken into consideration in planning your childʼs admission visits and/or school program. Applicant Educational Profile - Part II **Please fill out this section if your child is currently in school or has been previously enrolled in a school. If a question does not apply to your child please write "N/A" in the space provided.Describe your child's general development and academic performance in the current/previous school.Has your child had any tutoring or enrichment classes, in or out of school, during the past two years? If so, in what areas?We do not want to repeat testing unnecessarily. If your child has completed professionally administered diagnostic testing in the past two years, please describe and provide copies of the evaluation results. (This would include tests such as intelligence, cognitive ability, achievement, psychological and/or medical.) Upload diagnostic testing or evaluation results for your child.Are you aware of any areas in which we might be able to give special help and encouragement to your child? Is your child receiving special services in the current school? Verify and Submit FormThere is a non-refundable application fee of $150. Please indicate how you would like to pay the fee: (Skip this step. Because of COVID 19, we are not collecting fees at this time. If we reach out to offer a spot to your child, we will activate an application fee.)Bank Transfer (ACH)Mail CheckIf you choose to pay by bank transfer or credit card you will receive an email with a secure link to make your payment.If you choose to pay by check please mail your check to Journey Montessori School, 1212 Unity Way, Santa Fe, NM 87506 and reference your child's name in the memo.By clicking this button I verify that I am a parent/guardian of the applicant and am authorized to submit this application. Send a copy of this message to yourself Word Verification:SubmitResetDate:Journey Montessori School is a diverse learning community where independence, positive self-esteem, critical thinking, responsibility to self and others and a peaceful, appreciative stewardship of the Earth are fostered in every student. The Journey Montessori School Community is a welcoming community that does not discriminate on the basis of race, gender, sexual orientation, family structure, color, religion, socioeconomic status, national origin, ancestry, or a disability that is unrelated to the ability to enjoy the benefits of the schoolʼs programs, facilities, or services.