Ambleside Admissions Application

Admissions Application

Please complete the entire application and then submit. If you need to pause and continue at a later time, scroll to the bottom of the page to save (via JotForm). Hitting 'Enter' on your keyboard at any point will result in early submission. Thank you!

Applying for Academic Year

Applying for Grade

Student Information

Full Name *

First Name Middle Name Last Name

Preferred Name

Gender *

Male Female

Date of Birth *

Age *

Current School *

Current Grade *

Student's Home Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Home Phone *

How did you learn about Ambleside School?

Parent Information

Student lives with (please check all that apply): *

Father Mother Stepfather Stepmother Father deceased Mother deceased Parents separated or divorced Other, please explain below

Additional information about any of the above:

Father / Guardian with whom the student lives:

Father / Guardian

First Name Last Name

Cell Phone

Business Phone

Occupation

Employer

E-mail

College Attended / Degrees

Mother / Guardian with whom the child lives:

Mother / Guardian

First Name Last Name

Cell Phone

Business Phone

Occupation

Employer

E-mail

College Attended / Degrees

Information about parent not living with this child, or sharing joint custody:

Parent Name

First Name Last Name

Relationship to Student

Mailing Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Home Phone

Cell Phone

Business Phone

E-mail

May we provide correspondence to this parent via email & other means?

Yes No

May we add this parent as an emergency contact?

Yes No

Sibling Information

Name

Date of Birth

Current School

Grade

Applying? (Y/N)

_________________________________________________________________________________________________

Name

Date of Birth

Current School

Grade

Applying? (Y/N)

_________________________________________________________________________________________________

Name

Date of Birth

Current School

Grade

Applying? (Y/N)

_________________________________________________________________________________________________

Name

Date of Birth

Current School

Grade

Applying? (Y/N)

Prior Education

Prior School

City / State

Grades Attended

Prior School

City / State

Grades Attended

Prior School

City / State

Grades Attended

Have all financial responsibilities been met at prior school?

Yes No

Is applicant eligible to re-enroll at prior school?

Yes No

If no, please explain

Has applicant ever been suspended or expelled?

Yes No

If yes, please explain

May we contact your previous school for references?

Yes No

After (date):

Health History

Does your child have any allergies or physical limitations? Please explain:

Please list any medications your child may be using during the school year:

Has your child had any traumatic experiences (physical or emotional) during the early years about which we should be made aware (i.e., head injuries, family deaths, surgeries, serious illness, sibling illness, unconsciousness, etc?):

Please note any medical, religious or philosophical exemptions your family has, or plans to have, to Colorado’s school vaccination requirements:

Personality

Describe your child’s interests. Which subjects tend to capture his/her interest? What does he/she enjoy doing most at home?

What are his/her strengths, both academically and socially?

What are his/her weaknesses, both academically and socially?

Choosing Ambleside

Please state the three most significant reasons why would you like your child to attend Ambleside School.

How can Ambleside best nurture your child?

How would you rate your understanding of the educational philosophy of Charlotte Mason?

Non-Existent Minimal Moderate Full

What aspect of Charlotte Mason’s approach is most intriguing to you?

Spiritual Information

Does your family attend church weekly?

Yes No

If so, what is the name of your church home?

How does the fact that Ambleside is a “Christ-centered” school impact your decision to apply?

Tuition and Fees

Name of person(s) responsible for tuition and expenses

Do you intend to remain at Ambleside for the entire school year?

Yes No

Upon enrollment, which payment plan do you prefer? *

Annual Semi-Annual (twice yearly) Monthly (ten month cycle)

Do you plan to apply for tuition assistance now or in the future?

Yes No

Policy Information

Acceptance of any child at Ambleside School is a decision of the Ambleside trustees and faculty. Acceptance is based on the compatibility of the school, the parents, and the child. Ambleside reserves the right to determine proper grade placement.

Parents or guardians must furnish accurate and complete information regarding a student’s special learning issues, emotional stability, or physical limitations during the application process. With such accurate information our staff can carefully and prayerfully evaluate how effectively we can meet the needs of each student.

Currently we do not have a program dedicated to the needs of learning disabled or physically handicapped students. However, a student with these types of needs is not automatically denied admission.

Is there anything about your child – academically, physically, or emotionally – that we should be made aware of at this time? (Please mention all special evaluations or tests, recommendations or referrals, including WISC IV, Woodcock-Johnson, Section 504/Student Service Plan, IEP, ILP, qualification to a program designed to address learning disabilities, gifted and talented qualifications or other learning styles.)

NON-DISCRIMINATION POLICY: Ambleside School admits students of any race, color, national and ethnic origin to all rights, privileges, programs, and activities generally accorded or made available to students at the school. Ambleside School does not discriminate on the basis of race, color, national and ethnic origin in administration of its educational policies, admissions policies, scholarship and financial aid programs, and athletic and other school-administered programs.

I have completed this application to the best of my knowledge. I fully understand and support the mission of Ambleside School, and release the leadership of Ambleside to review and process information about my student, including confidential information such as medical information, transcripts, etc., after which time such information will be kept on file with Ambleside School.

Signature of Parent of Guardian

by entering your name above, this serves as your electronic signature

Date

Month Day Year

I would like to: *

Save for later Submit