Intent to Enroll at Mountain Song Community School, a waldorf-methods charter Survey

1. This CONFIDENTIAL Letter of Intent is used to demonstrate interest in having your child(ren) attend Mountain Song Community School. Submitting this Letter of Intent does not obligate the student to attend Mountain Song Community School nor does it guarantee admission. Our school is aiming to open for the 2013/2014 school year for Pre-K through grade 6, growing to grade 7 in 2014/2015, and grade 8 in 2015/2016.

This CONFIDENTIAL Letter of Intent is used to demonstrate interest in having your child(ren) attend Mountain Song Community School. Submitting this Letter of Intent does not obligate the student to attend Mountain Song Community School nor does it guarantee admission. Our school is aiming to open for the 2013/2014 school year for Pre-K through grade 6, growing to grade 7 in 2014/2015, and grade 8 in 2015/2016. Parent Name:
Address:
Address 2:
City/Town:
State:
ZIP:
Email Address:

2. Please list every child whom you are interested in enrolling in the school.
For 'Grade Entering' please use one of the following for each child: Pre-K,K,1,2,3,4,5,6
(We plan to grow to grade 7 in 2014/15 and grade 8 in 2015/16)

Please list every child whom you are interested in enrolling in the school. For 'Grade Entering' please use one of the following for each child: Pre-K,K,1,2,3,4,5,6 (We plan to grow to grade 7 in 2014/15 and grade 8 in 2015/16) CHILD 1: Full Name
Date of Birth
Desired Year to Enter
Grade Entering in Desired Year
CHILD 2: Full Name
Date of Birth
Desired Year to Enter
Grade Entering in Desired Year
CHILD 3: Full Name
Date of Birth
Desired Year to Enter
Grade Entering in Desired Year
CHILD 4: Full Name
Date of Birth
Desired Year to Enter
Grade Entering in Desired Year
CHILD 5: Full Name
Date of Birth
Desired Year to Enter
Grade Entering in Desired Year
CHILD 6: Full Name
Date of Birth
Desired Year to Enter
Grade Entering in Desired Year

3. If you will have a child entering kindergarten do you prefer full or half day?
The State of Colorado only funds half day programs, full day programs would be fee-based.

If you will have a child entering kindergarten do you prefer full or half day? The State of Colorado only funds half day programs, full day programs would be fee-based. Full Day

Half Day

4. In what school district do you currently reside?

	School District
Please choose one from menu	In what school district do you currently reside? Please choose one from menu School District

*

5. What school(s) do you currently have children enrolled?

What school(s) do you currently have children enrolled?

6. In order for us to be adequately prepared for Exceptional Student Leadership (formerly known as Special Education) please answer the following questions.

	YES	NO
One or more of my children may qualify as Culturally and/or Linguistically Diverse	*In order for us to be adequately prepared for Exceptional Student Leadership (formerly known as Special Education) please answer the following questions. One or more of my children may qualify as Culturally and/or Linguistically Diverse YES	One or more of my children may qualify as Culturally and/or Linguistically Diverse NO
One or more of my children may need, or already has, an IEP: Individualized Education Program	One or more of my children may need, or already has, an IEP: Individualized Education Program YES	One or more of my children may need, or already has, an IEP: Individualized Education Program NO

7. How familiar are you with Waldorf-methods?

	Not very familiar	Slightly familiar	Moderately familiar	Very familiar
Please select one.	*How familiar are you with Waldorf-methods? Please select one. Not very familiar	Please select one. Slightly familiar	Please select one. Moderately familiar	Please select one. Very familiar

Other

8. How did you hear about Mountain Song Community School?

How did you hear about Mountain Song Community School?

9. How would you like to stay informed?

	Yes	No
Please add my email to your E-News subscriber list	*How would you like to stay informed? Please add my email to your E-News subscriber list Yes	Please add my email to your E-News subscriber list No
Please have someone contact me about Committee Work	Please have someone contact me about Committee Work Yes	Please have someone contact me about Committee Work No

10. Thank you for your interest in Mountain Song Community School. We look forward to developing and serving a diverse group of students and their families. If you have any additional comments you may enter them below.

Thank you for your interest in Mountain Song Community School. We look forward to developing and serving a diverse group of students and their families. If you have any additional comments you may enter them below.

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Intent to Enroll at Mountain Song Community School, a waldorf-methods charter
Exit this survey