Application for Admission

Please complete the application below. We appreciate your accurate, thorough and candid responses. Information enclosed in the application is kept confidential, and shared only with Vermont Day School staff.

Child's Full Name:

Date of Application:

Applying for School Year:

Student Information

Birthdate:

Gender:
MaleFemale

Current Grade:

Current School:

Dates Attended:

Previous Schools and Dates attended:

Family Information

Name of Parent/Guardian #1:

Occupation:

Address:

Primary contact number:

Email:

Name of Parent/Guardian #2:

Occupation:

Address:

Primary contact number:

Email:

Sibling(s):

Age(s)

Background Information

What are your child's interests and hobbies?

Describe his/her personality.

What are your goals for your child's education?

How does your child learn best?

What are his/her strengths (consider academics, behavior, social-emotional factors)?

What are his/her challenges (consider academic, behavior, social-emotional factors)?

What is your child like in social situations? How does he/she interact with peers?

Has your child received special services, tutoring, counseling or educational/psychological testing? If so, please describe.

What attracts you to Vermont Day School?

I give permission for my child to participate in educational screening, as part of the process of Admissions to Vermont Day School. Information enclosed in this application, and observed during the screening process will be kept confidential, and disclosed only to Vermont Day School staff.
I give permission

Signature of Parent/Guardian #1

Signature of Parent/Guardian #2

Please prove you are human by selecting the heart.