Elgin Academy

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Read-only Browsing: Please complete the first section of the form in order to edit subsequent sections.

Application for Admission

1. Applicant Information

2. Parent/Guardian Information

3. Family Information

4. Program Choice

5. Signatures

Submit

Program Choice

Early Childhood

Please indicate which program you are interested in:

Preschool (3 yrs old by 9/1)

5 Full Days (8:20 a.m.–2:30 p.m. M–F)5 Half Days (8:20 a.m.—11:30 a.m. M–F)3 Full Days (8:20 a.m.–2:30 p.m. M,W,F)3 Half Days (8:20 a.m.—11:30 a.m. M,W,F)

Prekindergarten (4 yrs old by 9/1)

5 Full Days (8:20 a.m.–2:30 p.m. M–F)5 Half Days (8:20 a.m.—11:30 a.m. M–F)3 Full Days (8:20 a.m.–2:30 p.m. M,W,F)3 Half Days (8:20 a.m.—11:30 a.m. M,W,F)

Please help us know your child by providing the following information. It is understood that students continue to grow and develop, and your responses should describe current circumstances.

Has your child attended a preschool or child care program before?

YesNo

If yes, please give the name of the former school.

Can feed him or herself using a spoon and/or fork?

YesNo

Can wash and dry his or her own hands?

YesNo

Can dress her or himself with little assistance?

YesNo

Can speak so that he or she can be understood by others?

YesNo

Can express her or his thoughts and needs easily?

YesNo

Plays with blocks, boxes, construction toys without help?

YesNo

Uses crayons or markers to draw?

YesNo

Listens to stories being read?

YesNo

Turns pages of a book and looks at pictures?

YesNo

Recalls stories and events?

YesNo

Enjoys playing alone or with imaginary friends?

YesNo

Follows simple, age-appropriate directions?

YesNo

Talks with your friends and relatives who come to visit?

YesNo

How many hours per day does your child spend watching TV?

Please describe briefly your child’s favorite activities when with other children.

Please describe briefly your child’s favorite activities when at home with a parent.

Please share anything else you would like to tell us about your child.

Lower School

Please help us know your child by providing the following information. It is understood that students continue to grow and develop, and your responses should describe current circumstances.

Please describe your child’s personality, learning style, and previous school experiences.

List the activities you enjoy as a family.

Characterize the principles by which your child has been raised.

Describe his/her current issues and activities including the arts, athletics, hobbies, favorite events, and pastimes.

Please share anything else you would like to tell us about your child.

Middle School and Upper School

Please help us know your child by providing the following information. It is understood that students continue to grow and develop, and your responses should describe current circumstances.

Please describe your child’s personality, learning style, and previous school experiences.

List the activities you enjoy as a family.

Characterize the principles by which your child has been raised.

Please list your child’s activities, interests, hobbies, and school and/or community involvements.

* denotes Required Fields.

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