Mountain View Community School ~ Rutland, Vermont ~ Fully Accredited, Independent, Non-affiliated

Enrollment Application

School Year:
Student Name:
Nickname:
Home Address:
Phone:
Date of birth:
Male or Female:
Parent/Guardian:
Business Phone:
Parent/Guardian 2:
Business Phone:
Parent/Guardian Address: (If different from student.)

Please list previous schools attended:

School Name:
Location:
Attendance Dates:
Grades:

School Name:
Location:
Attendance Dates:
Grades:

The answers to the following questions will be helpful to our staff to best serve your child’s needs.

1. Are there any areas in which you child has particular difficulty? If so, is he/she receiving help in those areas? Please explain.

2. What do you wish your child to gain from attending Mountain View Community School?

3. Why does your child want to attend MVCS? What are his/her concerns?

4. When a child comes to school from a home that is undergoing change (new locations, separation, divorce, etc.) his/her experience is affected. Are any of these changes a part of your child’s life and if so, how is he/she adapting or adjusting to the change?

5. What was the last grade completed by your child?

6. Do you anticipate a need for childcare? (Before school, After school, Before and after school)

Allergies:
Dietary Restrictions:
Physical Restrictions:
Health Problems:
Medications:
What is your child’s age on the first day of school?

Please indicate which program you are interested in enrolling your child:

	Early primary – Monday-Thursday 8:15 a.m. – 12:15 p.m.
	Early primary (full day / 4 days week) – Monday-Thursday 8:15 a.m. – 3:15 p.m.
	Early primary (full day / 5 days week) – Monday-Friday 8:15 a.m. – 3:15 p.m.
	Primary
	Elementary

Please enter these numbers to complete this request. This has been added to stop spam.

PLEASE NOTE: To submit your online application for admission, please click the SUBMIT button below. You will be contacted by MVCS to complete the application process, including gaining your signature and a $25 application fee.

Mountain View Community School is a fully accredited Vermont
independent school. We are registered as a 501(c)3 nonprofit
institution, so your gift is tax-deductible under IRS regulations.