Applicant Information

Full Name (required)

Your Email (required)

Date of Birth


Phone Number

Name of Current School

Previous Schools

Parent/Guardian Information

Full Name

Relationship to Applicant

Employer Name | Business Phone | Email

Profession | Position | Personal Phone

List siblings in family

Name | Age | School Attending | Grade

Are there any serious health concerns or learning disabilities of which we should be aware? If so, please explain

Does applicant have any allergies or need special medications? Please explain

Does your child take daily naps of one hour or more? Is your child potty trained?

Does your child have any fears that we should be aware of?

What are the goals for your child at The Montessori School Rochester? Socially, Emotionally and Academically

Why did you choose a Montessori education for your child and what are your expectations from it?

What language(s) are spoken in the home?

How did you learn about us?
NewspaperRochester PostMetro ParentOther PublicationPersonal ReferralFriendNeighborTMSR Staff MemberOtherInternetOur WebsiteFacebookRochester Chamber of Commerce