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Application Form

School of the Madeleine

Student Information
Name of Student *
First Name * Middle Name Last Name *
Date of Birth *
Place of Birth
Gender *


Applying for grade level *
If applying for Kindergarten, please have your child's current school fill out the Preschool Evaluation Form. If applying for grades 1 - 8, we request last year's and the most recent report card and any standardized testing results.
Preschool Evaluation Form
School Last Attended *
Catholic *


Catholic Parish
Baptismal Church
Address of Baptismal Church
Date of Baptism
Family Address *
Address1 City State Zip
Child lives with *
 
Parent Information
Parent 1 Name *
First Name Last Name
Relationship to Child *
Cell Number *
Email Address *
Place of Birth *
Occupation *
Parent 2 Name
First Name Last Name
Relationship to Child
Cell Number
Email Address
Place of Birth
Occupation
 
Questionnaire
What brought you to apply to School of the Madeleine? *
Describe your child’s current school experience. If changing schools, what are your reasons for doing so? *
Please write a statement of recommendation for your child; what are your child’s strengths and talents? *
Please share any information that will help us better know your child; this might include health, learning needs, gifts, or family circumstances. *
Please share some of your child’s interests and favorite activities. *
Please share any special skills or interests that you might contribute for Parent Service Hours. *
What other schools are you applying to? *
Payment Options *
Plastiq Link
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1225 Milvia Street, Berkeley, CA 94709
Phone: 510-526-4744
Fax: 510-526-5152
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