Tuition & Fee Schedule

APPLICATION FOR ADMISSION

Please tell us about your child. This information will be used in conjunction with other data as part of the admission decision process. The Waterford School considers students who have a desire to learn and the maturity, responsibility, and selfdiscipline to engage in the experiences of learning. Your candid responses will help us learn more about your child.

A non-refundable application fee of $35.00 must be recieved before applications can be considered. The mailing address for submitting payment will be provided after completing this application form.

APPLICANT INFORMATION

First Name	Middle Name	Last Name	Male/Female

Applying for School Year	Applying for Grade	Current Grade	Birth Date	Age in Years

Name of Current School	Phone Number

Address of Current School	City	State	Zip

Dates of Attendance	Name of Principal / Head of School

GUARDIAN INFORMATION

Guardian 1

Name	Title

Home Address

City	State	Zip

Home Telephone

Cellular

E-mail Address

Education

College Attended

Occupation

Job Title

Employer

Employer's Address

City	State	Zip

Work Telephone

Guardian 2

Name	Title

Home Address

City	State	Zip

Home Telephone

Cellular

E-mail Address

Education

College Attended

Occupation

Job Title

Employer

Employer's Address

City	State	Zip

Work Telephone

FAMILY INFORMATION

Marital Status of Parents	If not Married, who has legal custody?	With whom does the student live?

Please list other children in the family:

Name	Age	School
			Also Applying to Waterford

			Also Applying to Waterford

			Also Applying to Waterford

			Also Applying to Waterford

ADDITIONAL INFORMATION

What do you consider your child's strengths to be? Academic Strengths Personal Strengths	What improvement is needed? Areas for Academic Growth Areas for Personal Growth

What are your child's school-related interests and activities?
(music, art, athletics, clubs, organizations, and/or other special interests)

What are your child's preferred after-school activities?
(hobbies, special interests, talents, and/or unusual capabilities)

Briefly describe your child's present school experience, including your child's attitude toward school.

Why is your child leaving his/her present school?

Are your child's academic performance and behavioral maturity in the present school consistent with your expectations?

What do you hope a Waterford education will provide for your child?

Why do you think Waterford School and your child would be a good match?

How would you rate your child's study habits? (select one)

	Poor		Fair		Good		Very Good		Excellent

Has your child had any scholastic or disciplinary difficulties?

Yes

If yes, please explain:

Please comment on the following aspects of your child's schooling: Did your child ever skip or repeat a year? Was your child ever suspended or put on probation? Please explain:

Has a psychological or education assessment ever been completed for your child (such an evaluation might include testing for special needs, learning differences or disabilities, and/or physical limitations)?

Yes

If yes, please explain:

Has your child received any assistance such as special education (gifted/talented, tutoring, behavior intervention, or resource intervention)?

Yes

If yes, please explain:

Briefly describe your child's medical history. If your child is currently being treated by a physician or psychologist/counselor, please indicate the nature of that treatment (including medication).

Please add any additional statements regarding your personal educational philosophy, your impressions of Waterford School, or other matters you consider pertinent to this application.

Please list the names of two people who know your child well. We prefer one current teacher; the other may be a family friend or Waterford family.

Name

Home Address

City	State	Zip

Home Telephone

Relationship to Applicant

Name

Home Address

City	State	Zip

Home Telephone

Relationship to Applicant

We authorize Waterford School to request, and our child's school to provide, a complete academic transcript and report cards, previous standardized test scores, disciplinary and attendance records, and any other requested information. This application becomes part of the permanent record of the matriculating student. Letters of recommendation, including comments and information provided by the applicants's teachers and/or principal, including previous school records, are held in confidence by Waterford School and only disclosed to members of the Admissions Committee or others considered necessary to the admissions process.