Application Instructions and Admission Timetable â Applicants for ...
Application Instructions and Admission Timetable – Applicants for Grades 1-3 – ADMISSION TIMETABLE FOR STUDENTS APPLYING TO GRADES 1-3 Early Admission Notification for Students Applying to Grades 1-3 »» The application deadline for the first round of admission decisions is February 15, 2016. »» Admission and Need-Based Tuition Assistance notification to families is February 26, 2016. Families reply by March 11, 2016. Rolling Admission for Grades 1-3 begins March 14, 2016. Contact the Admission Office at (440) 473-8165 or [email protected] for questions about the application and tuition assistance process or notification timetable.
APPLICATION INSTRUCTIONS »» Applicants for Grades 1-3 must complete Forms 1-7. * On Form 3, parents need only to complete the front and back sides. Please see reverse side of this document for details about each form.
ENTRANCE ASSESSMENTS »» Applicants for Grades 1-3 will complete a brief learning assessment during the course of the scheduled visit day.
CAMPUS VISIT AND MEETING REQUIRED FOR GRADES 1-3 »» A campus visit and a meeting with an admission officer is required of all applicants and parents. »» A campus visit is an integral part of our assessment process. It also provides a wonderful opportunity for students and families to become familiar with Gilmour’s motivated students, caring faculty and extensive opportunities. Please call the Admission Office at (440) 473-8165 to schedule your visit.
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APPLICATION FORM DETAILS PRELIMINARY APPLICATION FOR ADMISSION
Complete Form One immediately and return it to the Admission Office.
FORM ONE REQUEST FOR TRANSCRIPT AND SCHOOL REPORT
Print applicant name at the top, sign it and give it to the applicant’s guidance counselor or principal along with a return envelope. The official transcript is to be returned to Gilmour Academy immediately after receiving first-quarter grades, or most recent grades thereafter.
FORM TWO
APPLICANT’S QUESTIONNAIRE
For Grade 1-3 applicants, parents must complete this form. Return the questionnaire as soon as possible in one of the envelopes provided.
FORM THREE CURRENT ENGLISH TEACHER RECOMMENDATION
Print applicant name at the top and give it to the applicant’s current English teacher along with a return envelope. To be completed after the first-quarter marking period and returned to Gilmour Academy as soon as possible thereafter.
FORM FOUR CURRENT MATH TEACHER RECOMMENDATION
Print applicant name at the top of this form and give it to the applicant’s current math teacher along with a return envelope. To be completed after the first-quarter marking period and returned to Gilmour Academy as soon as possible thereafter.
FORM FIVE GENERAL RECOMMENDATION
Print applicant name at the top of this form and give it to the recommender along with a return envelope. This form may be completed by an additional teacher or by another adult (other than a relative or family friend) who knows the applicant through a school-related activity. To be completed after the first-quarter marking period and returned to Gilmour Academy as soon as possible thereafter.
FORM SIX
PARENTS’ COMMENTS
To be completed by the applicant’s parent(s) or guardian(s) and returned to Gilmour Academy in the enclosed envelope as soon as possible.
FORM SEVEN
1 2 3 4 5 6 7
Gilmour Academy admits students of any race, color, religion, gender, and national and ethnic origin to all rights, privileges, programs, and activities generally accorded or made available to students at the school. It does not discriminate on the basis of race, color, religion, gender, and national and ethnic origin in administration of its educational policies, scholarship and loan programs, or athletic and other school-administered programs.
ADMISSION OFFICE GILMOUR ACADEMY 34001 Cedar Road Gates Mills, OH 44040-9356 www.gilmour.org [email protected]
LOWER SCHOOL montessori (18 months-Kindergarten) Grades 1-6 [p] (440) 473-8165 [f] (440) 473-8157
MIDDLE AND UPPER SCHOOL grades 7-12 [p] (440) 473-8050 [f] (440) 473-8010
PRELIMINARY APPLICATION FOR ADMISSION
Required for Grades 1-3 applicants
APPLICANT INFORMATION FIRST NAME
LAST NAME
MALE
DAY STUDENT
FEMALE
RESIDENT STUDENT
MIDDLE NAME
YEAR OF PROPOSED ENTRANCE
CURRENT GRADE
CITY
HOME ADDRESS
NICKNAME
GRADE OF ENTRY
STATE
HOME PHONE
ZIP
COUNTRY
STUDENT EMAIL ADDRESS
DATE OF BIRTH MM/DD/YY
COUNTRY OF BIRTH
CITIZENSHIP
LANGUAGE OF THE HOME
PHONE
CURRENT SCHOOL
SCHOOL ADDRESS
CITY
STATE
ZIP
COUNTRY
STATE
ZIP
COUNTRY
ZIP
COUNTRY
ZIP
COUNTRY
FAMILY INFORMATION MOTHER
DR.
MRS.
MS. FULL NAME
HOME ADDRESS
CITY
CELL PHONE
WORK PHONE
EMAIL
OCCUPATION
ATTENDED:
TITLE GRADUATE SCHOOL
COLLEGE
HIGH SCHOOL NAME
FATHER
DR.
MR. FULL NAME CITY
HOME ADDRESS CELL PHONE
STATE
WORK PHONE
EMAIL TITLE
OCCUPATION
ATTENDED:
EMPLOYER HIGH SCHOOL
GRADUATE SCHOOL
COLLEGE
EMPLOYER HIGH SCHOOL HIGH SCHOOL NAME
PARENTS ARE MARRIED AND LIVING TOGETHER
PARENTS ARE SEPARATED
MOTHER IS REMARRIED
PARENTS ARE DIVORCED
SINGLE PARENT
FATHER IS REMARRIED
NAME OF STEPFATHER NAME OF STEPMOTHER WITH WHOM DOES THE STUDENT RESIDE?
GUARDIAN if applicable NAME HOME ADDRESS CELL PHONE
CITY WORK PHONE
STATE RELATIONSHIP TO APPLICANT
1
RELIGIOUS PREFERENCE (optional)
PLACE OF WORSHIP (optional)
FOR U.S. CITIZENS ONLY: (Optional) How would you describe yourself? AMERICAN INDIAN OR ALASKAN NATIVE
ASIAN/PACIFIC ISLANDER
BLACK, NON-HISPANIC
WHITE/CAUCASIAN
ASIAN AMERICAN
BIRACIAL/MULTIRACIAL
LATINO/HISPANIC
OTHER PLEASE SPECIFY
NEED-BASED TUITION ASSISTANCE Do you intend to apply for need-based tuition assistance?
YES
NO
Visit gilmour.org/tuitionassistance for step-by-step instructions on how to complete the need-based tuition assistance application process.
SIGNATURES STUDENT
DATE MM/DD/YY
MOTHER OR GUARDIAN
DATE MM/DD/YY
FATHER OR GUARDIAN
DATE MM/DD/YY
NAME OF PERSON RESPONSIBLE FOR TUITION IF OTHER THAN PARENT OR GUARDIAN
DATE MM/DD/YY
A parent signature acknowledges that the parent waives his/her right to read the confidential teacher recommendations and the school report for the student listed above.
Gilmour Academy admits students of any race, color, religion, gender, and national and ethnic origin to all rights, privileges, programs, and activities generally accorded or made available to students at the school. It does not discriminate on the basis of race, color, religion, gender, and national and ethnic origin in administration of its educational policies, scholarship and loan programs, or athletic and other school-administered programs.
ADMISSION OFFICE GILMOUR ACADEMY 34001 Cedar Road Gates Mills, OH 44040-9356 www.gilmour.org [email protected]
LOWER SCHOOL montessori (18 months-Kindergarten) Grades 1-6 [p] (440) 473-8165 [f] (440) 473-8157
MIDDLE AND UPPER SCHOOL grades 7-12 [p] (440) 473-8050 [f] (440) 473-8010
REQUEST FOR TRANSCRIPT AND SCHOOL REPORT
Required for Grade 4 - 12 applicants
2
INSTRUCTIONS FOR THE APPLICANT Please print applicant name in the space below and give this form and a return envelope to your guidance counselor or principal. FIRST NAME
LAST NAME
TO THE PARENT/GUARDIAN: Please read the following statement and sign below. I acknowledge that I waive my rights to read the confidential teacher recommendations and the school report for the student listed above. NAME OF PARENT OR GUARDIAN
SIGNATURE
DATE MM/DD/YY
INSTRUCTIONS FOR THE GUIDANCE COUNSELOR OR PRINCIPAL This student is a candidate for admission to Gilmour Academy. Please complete both sides of this form and attach: • An official transcript or school record • Please include a minimum of the student’s three most recent years along with the most recent current year transcript. • If the student is a candidate for Grades 9-12, please include all middle school and high school records. • A complete record of this student’s standardized test results (IOWA, SAT, CTP, etc.) • A school profile, if available PLEASE RETURN THIS FORM AND THE ACCOMPANYING ITEMS IN THE ENVELOPE PROVIDED DIRECTLY TO: The Admission Office, Gilmour Academy, 34001 Cedar Road, Gates Mills, Ohio 44040-9356. Thank you. PUBLIC
NON-PUBLIC
SCHOOL NAME SCHOOL ADDRESS SCHOOL PHONE
CITY
STATE
OFFICE EMAIL
COUNTRY
PRINCIPAL OR SCHOOL HEAD
DATE OF STUDENT’S ENTRANCE TO YOUR SCHOOL MM/DD/YY
GRADING SCALE EXACTLY
STUDENT’S CLASS RANK
Are classes sectioned according to ability?
ZIP
PASSING MARK
HONORS MARK
APPROXIMATELY NUMBER OF STUDENTS IN CLASS
YES
NO
If yes, please indicate what section or track the student is in (e.g., honors, college-preparatory, advanced, regular, remedial):
PLEASE TAKE A FEW MINUTES TO COMMENT ON THE FOLLOWING: The student’s maturity in relation to his or her peers:
Extent or need for prodding or supervision:
(Over)
Academic achievement versus ability:
Should Gilmour Academy be aware of any academic or learning issues that have helped or hindered this student’s progress?
Should Gilmour Academy be aware of any physical or emotional health problems? Any disciplinary issues in which the student was involved?
Number of absences this year:
If absences are excessive, please explain:
Has this student ever been suspended or expelled from your school? If “yes,” for what reason?
RECOMMENDATION I RECOMMEND THIS STUDENT FOR ADMISSION: WITHOUT RESERVATION
STRONGLY
MILDLY
WITH RESERVATIONS
NOT AT ALL
SIGNATURE
DATE MM/DD/YY
NAME (please print)
TITLE
ADDRESS
CITY
STATE
ZIP
COUNTRY
We appreciate your time and effort in completing this evaluation. Your insight will help us gain a better understanding of the applicant as a student and individual. Gilmour Academy is an independent, Catholic, coeducational, college-preparatory school offering a Montessori Preschool Program, Lower School, Middle School and Upper School. Gilmour exists to help students prepare for higher education and life’s work while becoming more informed and responsible members of society.
ADMISSION OFFICE GILMOUR ACADEMY 34001 Cedar Road Gates Mills, OH 44040-9356 www.gilmour.org [email protected]
LOWER SCHOOL montessori (18 months-Kindergarten) Grades 1-6 [p] (440) 473-8165 [f] (440) 473-8157
MIDDLE AND UPPER SCHOOL grades 7-12 [p] (440) 473-8050 [f] (440) 473-8010
APPLICANT’S QUESTIONNAIRE
Entire form to be completed by student applying for Grade 4-12.
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APPLICANT INFORMATION This questionnaire is a way for you to present yourself to the Admission Committee at Gilmour Academy. Please complete this form with care and feel free to submit additional information that you believe to be relevant to your candidacy. Applicants for Grades 4-12 should complete in their own handwriting.
FIRST NAME
LAST NAME
STREET
MIDDLE NAME CITY
STATE
PHONE
ZIP
COUNTRY
STUDENT EMAIL ADDRESS
List schools and location (city, state) you have attended, starting with most recent. GRADE LEVEL(S)
SCHOOL
DATES ATTENDED from-to
What academic subjects do you most enjoy, and why?
What subjects do you enjoy the least or find most difficult, and why?
Please tell us how or why you first became interested in applying to Gilmour Academy.
Please list other schools to which you are applying.
BROTHERS AND SISTERS
CURRENT GRADE
SCHOOL OR COLLEGE
Do you have relatives who attended Gilmour Academy or Glen Oak School? If so, please indicate their class years and their relationships to you: FIRST NAME
LAST NAME
MAIDEN NAME
RELATIONSHIP
CLASS YEAR
FIRST NAME
LAST NAME
MAIDEN NAME
RELATIONSHIP
CLASS YEAR
FIRST NAME
LAST NAME
MAIDEN NAME
RELATIONSHIP
CLASS YEAR
Please tell us about your extracurricular and recreational interests (arts, athletics, community service, etc.) in and out of school, in order of their importance to you. Please note any honors, awards and achievements of which you are proud.
How have you spent your last two summers?
PERSONAL ESSAY Please choose one of the following topics and write an essay in the space provided. Put a check in the box next to the question you are answering. Please write in your own words and in your own handwriting. (If you choose, in addition to the handwritten essay, you may also submit a typed copy.) 1. Describe an accomplishment in your life of which you are particularly proud and explain why it makes you feel this way. 2. Describe a person, other than a relative, whom you have known personally and explain why he or she has made an impact in your life. 3. Describe the greatest challenge you have ever faced in your life. How did you react to, or overcome, this challenge? 4. Discuss why you are applying to Gilmour Academy and what you would hope to accomplish while here.
If you need more space to complete your personal essay, please use and attach a separate sheet.
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APPLICANT INFORMATION Have you ever had scholastic or disciplinary difficulties?
YES
NO
Have you ever had social or emotional difficulties?
YES
NO
Have you ever required or received special support (tutoring, counseling, medical, etc.) at home or school?
YES
NO
If “yes” to any of the above, please explain here or on a separate sheet.
Please list any serious illnesses, operations, health conditions, or accidents, and your approximate age at the time. (Since Gilmour Academy is a private educational institution that does not receive federal funding, the Academy is not subject to the Individuals with Disabilities Education Act (IDEA). Gilmour Academy may not have the facilities or resources available to address all of the needs of potential students with disabilities or health conditions. If any special needs or accommodations may be necessary to attend Gilmour Academy based on a disability or a health condition, please explain the details.) NOT APPLICABLE
Present health:
PHOTO Please attach a recent photo of yourself so that the Admission Committee may better remember you.
SIGNATURES APPLICANT’S SIGNATURE (if applying for grades 4-12)
DATE MM/DD/YY
(My signature indicates that all information and work on this application is accurate, complete, my own, and in my own handwriting.)
PARENT’S SIGNATURE (required)
DATE MM/DD/YY
(My signature indicates that all information on this application is accurate and complete.) Gilmour Academy is an independent, Catholic, coeducational, college-preparatory school offering a Montessori Preschool Program, Lower School, Middle School and Upper School. Gilmour exists to help students prepare for higher education and life’s work while becoming more informed and responsible members of society. Gilmour Academy admits students of any race, color, religion, gender, and national and ethnic origin to all rights, privileges, programs, and activities generally accorded or made available to students at the school. It does not discriminate on the basis of race, color, religion, gender, and national and ethnic origin in administration of its educational policies, scholarship and loan programs, or athletic and other school-administered programs.
ADMISSION OFFICE GILMOUR ACADEMY 34001 Cedar Road Gates Mills, OH 44040-9356 www.gilmour.org [email protected]
LOWER SCHOOL montessori (18 months-Kindergarten) Grades 1-6 [p] (440) 473-8165 [f] (440) 473-8157
MIDDLE AND UPPER SCHOOL grades 7-12 [p] (440) 473-8050 [f] (440) 473-8010
4
CURRENT ENGLISH TEACHER RECOMMENDATION
Required for Grade 4 - 12 applicants
INSTRUCTIONS FOR THE APPLICANT Please print your name and school below and give this form and a return envelope to your current English teacher. If applying from outside the United States, you must collect the sealed envelope from your teacher and return it to the Admission Office. FIRST NAME
LAST NAME
TO THE PARENT/GUARDIAN: Please read the following statement and sign below. I acknowledge that I waive my rights to read the confidential teacher recommendations and the school report for the student listed above. NAME OF PARENT OR GUARDIAN
SIGNATURE
DATE MM/DD/YY
INSTRUCTIONS FOR THE TEACHER This student is a candidate for admission to Gilmour Academy. PLEASE COMPLETE BOTH SIDES OF THIS FORM AND RETURN IT IN THE ENVELOPE PROVIDED OR DIRECTLY TO: The Admission Office, Gilmour Academy, 34001 Cedar Road, Gates Mills, Ohio 44040-9356. If the candidate is applying from outside the United States, please place this form in the envelope, seal it, sign across the envelope seal, and return it to the candidate. Thank you. In what subjects and during which academic years have you taught this applicant? How long, and in what other contexts, have you known the applicant?
Please rate the applicant in the following areas in relation to his or her peers, and in relation to others you have known in this age group. ACADEMIC EVALUATION
EXCELLENT
GOOD
FAIR
POOR
N/A
EXCELLENT
GOOD
FAIR
POOR
N/A
Academic potential Academic achievement Ability to work independently Ability to work with others Imagination and creativity Intellectual curiosity Reading comprehension Reading speed Clarity of written communication Clarity of oral communication Effort and persistence Ability to hand work in on time Study habits
PERSONAL EVALUATION Conduct Concern for others Emotional stability Integrity/Honesty Leadership skills Maturity Peer compatibility Relationship with adults Self-confidence Sense of humor Family support
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PLEASE TAKE A FEW MINUTES TO COMMENT ON THE FOLLOWING: The student’s ability to move from literal to figurative interpretations.
The student’s ability to organize and communicate ideas in both speech and composition.
The student’s willingness to revise work and learn from his or her mistakes.
Does the student have particular strengths or weaknesses of which we should be aware? Academic, learning, or behavioral issues?
What adjectives best describe this student?
Additional comments?
RECOMMENDATION I RECOMMEND THIS STUDENT FOR ADMISSION: WITHOUT RESERVATION
STRONGLY
MILDLY
WITH RESERVATIONS
NOT AT ALL
SIGNATURE
DATE MM/DD/YY
PHONE
NAME (please print)
ADDRESS
CITY
STATE
TITLE
ZIP
COUNTRY
We appreciate your time and effort in completing this evaluation. Your insight will help us gain a better understanding of the applicant as a student and individual. Gilmour Academy is an independent, Catholic, coeducational, college-preparatory school offering a Montessori Preschool Program, Lower School, Middle School and Upper School. Gilmour exists to help students prepare for higher education and life’s work while becoming more informed and responsible members of society.
ADMISSION OFFICE GILMOUR ACADEMY 34001 Cedar Road Gates Mills, OH 44040-9356 www.gilmour.org [email protected]
LOWER SCHOOL montessori (18 months-Kindergarten) Grades 1-6 [p] (440) 473-8165 [f] (440) 473-8157
MIDDLE AND UPPER SCHOOL grades 7-12 [p] (440) 473-8050 [f] (440) 473-8010
5
CURRENT MATH TEACHER RECOMMENDATION
Required for Grade 4 - 12 applicants
INSTRUCTIONS FOR THE APPLICANT Please print your name and school below and give this form and a return envelope to your current Math teacher. If applying from outside the United States, you must collect the sealed envelope from your teacher and return it to the Admission Office. FIRST NAME
LAST NAME
TO THE PARENT/GUARDIAN: Please read the following statement and sign below. I acknowledge that I waive my rights to read the confidential teacher recommendations and the school report for the student listed above. NAME OF PARENT OR GUARDIAN
SIGNATURE
DATE MM/DD/YY
INSTRUCTIONS FOR THE TEACHER This student is a candidate for admission to Gilmour Academy. PLEASE COMPLETE BOTH SIDES OF THIS FORM AND RETURN IT IN THE ENVELOPE PROVIDED OR DIRECTLY TO: The Admission Office, Gilmour Academy, 34001 Cedar Road, Gates Mills, Ohio 44040-9356. If the candidate is applying from outside the United States, please place this form in the envelope, seal it, sign across the envelope seal, and return it to the candidate. Thank you. In what subjects and during which academic years have you taught this applicant? How long, and in what other contexts, have you known the applicant?
Please rate the applicant in the following areas in relation to his or her peers, and in relation to others you have known in this age group. ACADEMIC EVALUATION
EXCELLENT
GOOD
FAIR
POOR
N/A
PERSONAL EVALUATION
EXCELLENT
GOOD
FAIR
POOR
N/A
Academic potential Academic achievement Ability to work independently Ability to work with others Knowledge of basic math skills Intellectual curiosity Analytical thinking Effort and persistence Ability to hand work in on time Study habits
Conduct Concern for others Emotional stability Integrity/Honesty Leadership skills Maturity Peer compatibility Relationship with adults Self-confidence Sense of humor Family support
What course and/or level would you recommend the student take next year? (Over)
PLEASE TAKE A FEW MINUTES TO COMMENT ON THE FOLLOWING: The student’s ability to grasp and retain concepts.
The student’s mathematical reasoning ability.
The student’s willingness to revise work and learn from his or her mistakes.
Does the student have particular strengths or weaknesses of which we should be aware? Academic, learning, or behavioral issues?
What adjectives best describe this student?
Additional comments?
RECOMMENDATION I RECOMMEND THIS STUDENT FOR ADMISSION: WITHOUT RESERVATION
STRONGLY
MILDLY
WITH RESERVATIONS
NOT AT ALL
SIGNATURE
DATE MM/DD/YY
PHONE
NAME (please print)
ADDRESS
CITY
STATE
TITLE
ZIP
COUNTRY
We appreciate your time and effort in completing this evaluation. Your insight will help us gain a better understanding of the applicant as a student and individual. Gilmour Academy is an independent, Catholic, coeducational, college-preparatory school offering a Montessori Preschool Program, Lower School, Middle School and Upper School. Gilmour exists to help students prepare for higher education and life’s work while becoming more informed and responsible members of society.
ADMISSION OFFICE GILMOUR ACADEMY 34001 Cedar Road Gates Mills, OH 44040-9356 www.gilmour.org [email protected]
LOWER SCHOOL montessori (18 months-Kindergarten) Grades 1-6 [p] (440) 473-8165 [f] (440) 473-8157
MIDDLE AND UPPER SCHOOL grades 7-12 [p] (440) 473-8050 [f] (440) 473-8010
6
GENERAL RECOMMENDATION
Required for Grade 4-12 applicants
INSTRUCTIONS FOR THE APPLICANT Please print your name and school below and give this form and a return envelope to your teacher or recommender (see instructions below). If applying from outside the United States, you must collect the sealed envelope from your teacher and return it to the Admission Office. • For Grade 4-12 applicants, this form should be completed by a teacher (other than Math or English) or by another adult (other than a relative or family friend) who knows the applicant through a school-related activity. FIRST NAME
LAST NAME
SCHOOL
TO THE PARENT/GUARDIAN: Please read the following statement and sign below. I acknowledge that I waive my rights to read the confidential teacher recommendations and the school report for the student listed above. NAME OF PARENT OR GUARDIAN
SIGNATURE
DATE MM/DD/YY
INSTRUCTIONS FOR THE TEACHER OR RECOMMENDER This student is a candidate for admission to Gilmour Academy. PLEASE COMPLETE BOTH SIDES OF THIS FORM AND RETURN IT IN THE ENVELOPE PROVIDED OR DIRECTLY TO: The Admission Office, Gilmour Academy, 34001 Cedar Road, Gates Mills, Ohio 44040-9356. If the candidate is applying from outside the United States, please place this form in the envelope, seal it, sign across the envelope seal, and return it to the candidate. Thank you.
How long, and in what context, have you known the applicant? Please rate the applicant in the following areas in relation to his or her peers, and in relation to others you have known in this age group. ACADEMIC EVALUATION
EXCELLENT
GOOD
FAIR
POOR
N/A
EXCELLENT
GOOD
FAIR
POOR
N/A
Academic potential Academic achievement Ability to work independently Ability to work with others Imagination and creativity Intellectual curiosity Knowledge of basic math skills Reading comprehension Reading speed Clarity of written communication Clarity of oral communication Effort and persistence Ability to hand work in on time Study habits
PERSONAL EVALUATION Conduct Concern for others Emotional stability Integrity/Honesty Leadership skills Maturity Peer compatibility Relationship with adults Self-confidence Sense of humor
(Over)
To help us better understand this candidate, please relate an experience that characterizes him or her.
Does the student have particular strengths or weaknesses of which we should be aware? Academic, learning, or behavioral issues?
What adjectives best describe this student?
Additional comments?
RECOMMENDATION I RECOMMEND THIS STUDENT FOR ADMISSION: WITHOUT RESERVATION
STRONGLY
MILDLY
WITH RESERVATIONS
NOT AT ALL
SIGNATURE
DATE MM/DD/YY
PHONE
NAME (please print)
ADDRESS
CITY
STATE
TITLE
ZIP
COUNTRY
We appreciate your time and effort in completing this evaluation. Your insight will help us gain a better understanding of the applicant as a student and individual. Gilmour Academy is an independent, Catholic, coeducational, college-preparatory school offering a Montessori Preschool Program, Lower School, Middle School and Upper School. Gilmour exists to help students prepare for higher education and life’s work while becoming more informed and responsible members of society.
ADMISSION OFFICE GILMOUR ACADEMY 34001 Cedar Road Gates Mills, OH 44040-9356 www.gilmour.org [email protected]
LOWER SCHOOL montessori (18 months-Kindergarten) Grades 1-6 [p] (440) 473-8165 [f] (440) 473-8157
MIDDLE AND UPPER SCHOOL grades 7-12 [p] (440) 473-8050 [f] (440) 473-8010
PARENTS’ COMMENTS
Required for Grade 4-12 applicants
7
INSTRUCTIONS FOR THE PARENTS STUDENT’S FIRST NAME
LAST NAME
STUDENT’S SCHOOL
TO THE PARENT: Please complete this form to help us better know your son or daughter. If necessary, please attach a separate sheet. Please return the form to Gilmour Academy in the envelope provided. Please describe your educational goals for your son or daughter, as well as how you see Gilmour Academy contributing to these goals.
To help us better understand your child, please relate an experience that characterizes him or her.
(Over)
Please describe your impressions of your son’s or daughter’s strengths, as well as any areas needing improvement.
Has your child ever had: YES
NO
SPECIAL ACADEMIC SUPPORT, TUTORING OR COUNSELING? SCHOLASTIC OR DISCIPLINARY DIFFICULTIES? SOCIAL OR EMOTIONAL DIFFICULTIES? HEALTH DIFFICULTIES?
If “yes” to any of the above, please explain here or on a separate sheet.
Since Gilmour Academy is a private educational institution that does not receive federal funding, the Academy is not subject to the Individuals with Disabilities Education Act (IDEA). Gilmour Academy may not have the facilities or resources available to address all of the needs of potential students with disabilities or health conditions. If any special needs or accommodations may be necessary to attend Gilmour Academy based on a disability or a health condition, please explain the details. NOT APPLICABLE
SIGNATURE
DATE MM/DD/YY
NAME (please print)
RELATIONSHIP TO APPLICANT
ADMISSION OFFICE GILMOUR ACADEMY 34001 Cedar Road Gates Mills, OH 44040-9356 www.gilmour.org [email protected]
LOWER SCHOOL montessori (18 months-Kindergarten) Grades 1-6 [p] (440) 473-8165 [f] (440) 473-8157
MIDDLE AND UPPER SCHOOL grades 7-12 [p] (440) 473-8050 [f] (440) 473-8010
APPLICATION INSTRUCTIONS »» Applicants for Grades 1-3 must complete Forms 1-7. * On Form 3, parents need only to complete the front and back sides. Please see reverse side of this document for details about each form.
ENTRANCE ASSESSMENTS »» Applicants for Grades 1-3 will complete a brief learning assessment during the course of the scheduled visit day.
CAMPUS VISIT AND MEETING REQUIRED FOR GRADES 1-3 »» A campus visit and a meeting with an admission officer is required of all applicants and parents. »» A campus visit is an integral part of our assessment process. It also provides a wonderful opportunity for students and families to become familiar with Gilmour’s motivated students, caring faculty and extensive opportunities. Please call the Admission Office at (440) 473-8165 to schedule your visit.
(Over)
APPLICATION FORM DETAILS PRELIMINARY APPLICATION FOR ADMISSION
Complete Form One immediately and return it to the Admission Office.
FORM ONE REQUEST FOR TRANSCRIPT AND SCHOOL REPORT
Print applicant name at the top, sign it and give it to the applicant’s guidance counselor or principal along with a return envelope. The official transcript is to be returned to Gilmour Academy immediately after receiving first-quarter grades, or most recent grades thereafter.
FORM TWO
APPLICANT’S QUESTIONNAIRE
For Grade 1-3 applicants, parents must complete this form. Return the questionnaire as soon as possible in one of the envelopes provided.
FORM THREE CURRENT ENGLISH TEACHER RECOMMENDATION
Print applicant name at the top and give it to the applicant’s current English teacher along with a return envelope. To be completed after the first-quarter marking period and returned to Gilmour Academy as soon as possible thereafter.
FORM FOUR CURRENT MATH TEACHER RECOMMENDATION
Print applicant name at the top of this form and give it to the applicant’s current math teacher along with a return envelope. To be completed after the first-quarter marking period and returned to Gilmour Academy as soon as possible thereafter.
FORM FIVE GENERAL RECOMMENDATION
Print applicant name at the top of this form and give it to the recommender along with a return envelope. This form may be completed by an additional teacher or by another adult (other than a relative or family friend) who knows the applicant through a school-related activity. To be completed after the first-quarter marking period and returned to Gilmour Academy as soon as possible thereafter.
FORM SIX
PARENTS’ COMMENTS
To be completed by the applicant’s parent(s) or guardian(s) and returned to Gilmour Academy in the enclosed envelope as soon as possible.
FORM SEVEN
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Gilmour Academy admits students of any race, color, religion, gender, and national and ethnic origin to all rights, privileges, programs, and activities generally accorded or made available to students at the school. It does not discriminate on the basis of race, color, religion, gender, and national and ethnic origin in administration of its educational policies, scholarship and loan programs, or athletic and other school-administered programs.
ADMISSION OFFICE GILMOUR ACADEMY 34001 Cedar Road Gates Mills, OH 44040-9356 www.gilmour.org [email protected]
LOWER SCHOOL montessori (18 months-Kindergarten) Grades 1-6 [p] (440) 473-8165 [f] (440) 473-8157
MIDDLE AND UPPER SCHOOL grades 7-12 [p] (440) 473-8050 [f] (440) 473-8010
PRELIMINARY APPLICATION FOR ADMISSION
Required for Grades 1-3 applicants
APPLICANT INFORMATION FIRST NAME
LAST NAME
MALE
DAY STUDENT
FEMALE
RESIDENT STUDENT
MIDDLE NAME
YEAR OF PROPOSED ENTRANCE
CURRENT GRADE
CITY
HOME ADDRESS
NICKNAME
GRADE OF ENTRY
STATE
HOME PHONE
ZIP
COUNTRY
STUDENT EMAIL ADDRESS
DATE OF BIRTH MM/DD/YY
COUNTRY OF BIRTH
CITIZENSHIP
LANGUAGE OF THE HOME
PHONE
CURRENT SCHOOL
SCHOOL ADDRESS
CITY
STATE
ZIP
COUNTRY
STATE
ZIP
COUNTRY
ZIP
COUNTRY
ZIP
COUNTRY
FAMILY INFORMATION MOTHER
DR.
MRS.
MS. FULL NAME
HOME ADDRESS
CITY
CELL PHONE
WORK PHONE
OCCUPATION
ATTENDED:
TITLE GRADUATE SCHOOL
COLLEGE
HIGH SCHOOL NAME
FATHER
DR.
MR. FULL NAME CITY
HOME ADDRESS CELL PHONE
STATE
WORK PHONE
EMAIL TITLE
OCCUPATION
ATTENDED:
EMPLOYER HIGH SCHOOL
GRADUATE SCHOOL
COLLEGE
EMPLOYER HIGH SCHOOL HIGH SCHOOL NAME
PARENTS ARE MARRIED AND LIVING TOGETHER
PARENTS ARE SEPARATED
MOTHER IS REMARRIED
PARENTS ARE DIVORCED
SINGLE PARENT
FATHER IS REMARRIED
NAME OF STEPFATHER NAME OF STEPMOTHER WITH WHOM DOES THE STUDENT RESIDE?
GUARDIAN if applicable NAME HOME ADDRESS CELL PHONE
CITY WORK PHONE
STATE RELATIONSHIP TO APPLICANT
1
RELIGIOUS PREFERENCE (optional)
PLACE OF WORSHIP (optional)
FOR U.S. CITIZENS ONLY: (Optional) How would you describe yourself? AMERICAN INDIAN OR ALASKAN NATIVE
ASIAN/PACIFIC ISLANDER
BLACK, NON-HISPANIC
WHITE/CAUCASIAN
ASIAN AMERICAN
BIRACIAL/MULTIRACIAL
LATINO/HISPANIC
OTHER PLEASE SPECIFY
NEED-BASED TUITION ASSISTANCE Do you intend to apply for need-based tuition assistance?
YES
NO
Visit gilmour.org/tuitionassistance for step-by-step instructions on how to complete the need-based tuition assistance application process.
SIGNATURES STUDENT
DATE MM/DD/YY
MOTHER OR GUARDIAN
DATE MM/DD/YY
FATHER OR GUARDIAN
DATE MM/DD/YY
NAME OF PERSON RESPONSIBLE FOR TUITION IF OTHER THAN PARENT OR GUARDIAN
DATE MM/DD/YY
A parent signature acknowledges that the parent waives his/her right to read the confidential teacher recommendations and the school report for the student listed above.
Gilmour Academy admits students of any race, color, religion, gender, and national and ethnic origin to all rights, privileges, programs, and activities generally accorded or made available to students at the school. It does not discriminate on the basis of race, color, religion, gender, and national and ethnic origin in administration of its educational policies, scholarship and loan programs, or athletic and other school-administered programs.
ADMISSION OFFICE GILMOUR ACADEMY 34001 Cedar Road Gates Mills, OH 44040-9356 www.gilmour.org [email protected]
LOWER SCHOOL montessori (18 months-Kindergarten) Grades 1-6 [p] (440) 473-8165 [f] (440) 473-8157
MIDDLE AND UPPER SCHOOL grades 7-12 [p] (440) 473-8050 [f] (440) 473-8010
REQUEST FOR TRANSCRIPT AND SCHOOL REPORT
Required for Grade 4 - 12 applicants
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INSTRUCTIONS FOR THE APPLICANT Please print applicant name in the space below and give this form and a return envelope to your guidance counselor or principal. FIRST NAME
LAST NAME
TO THE PARENT/GUARDIAN: Please read the following statement and sign below. I acknowledge that I waive my rights to read the confidential teacher recommendations and the school report for the student listed above. NAME OF PARENT OR GUARDIAN
SIGNATURE
DATE MM/DD/YY
INSTRUCTIONS FOR THE GUIDANCE COUNSELOR OR PRINCIPAL This student is a candidate for admission to Gilmour Academy. Please complete both sides of this form and attach: • An official transcript or school record • Please include a minimum of the student’s three most recent years along with the most recent current year transcript. • If the student is a candidate for Grades 9-12, please include all middle school and high school records. • A complete record of this student’s standardized test results (IOWA, SAT, CTP, etc.) • A school profile, if available PLEASE RETURN THIS FORM AND THE ACCOMPANYING ITEMS IN THE ENVELOPE PROVIDED DIRECTLY TO: The Admission Office, Gilmour Academy, 34001 Cedar Road, Gates Mills, Ohio 44040-9356. Thank you. PUBLIC
NON-PUBLIC
SCHOOL NAME SCHOOL ADDRESS SCHOOL PHONE
CITY
STATE
OFFICE EMAIL
COUNTRY
PRINCIPAL OR SCHOOL HEAD
DATE OF STUDENT’S ENTRANCE TO YOUR SCHOOL MM/DD/YY
GRADING SCALE EXACTLY
STUDENT’S CLASS RANK
Are classes sectioned according to ability?
ZIP
PASSING MARK
HONORS MARK
APPROXIMATELY NUMBER OF STUDENTS IN CLASS
YES
NO
If yes, please indicate what section or track the student is in (e.g., honors, college-preparatory, advanced, regular, remedial):
PLEASE TAKE A FEW MINUTES TO COMMENT ON THE FOLLOWING: The student’s maturity in relation to his or her peers:
Extent or need for prodding or supervision:
(Over)
Academic achievement versus ability:
Should Gilmour Academy be aware of any academic or learning issues that have helped or hindered this student’s progress?
Should Gilmour Academy be aware of any physical or emotional health problems? Any disciplinary issues in which the student was involved?
Number of absences this year:
If absences are excessive, please explain:
Has this student ever been suspended or expelled from your school? If “yes,” for what reason?
RECOMMENDATION I RECOMMEND THIS STUDENT FOR ADMISSION: WITHOUT RESERVATION
STRONGLY
MILDLY
WITH RESERVATIONS
NOT AT ALL
SIGNATURE
DATE MM/DD/YY
NAME (please print)
TITLE
ADDRESS
CITY
STATE
ZIP
COUNTRY
We appreciate your time and effort in completing this evaluation. Your insight will help us gain a better understanding of the applicant as a student and individual. Gilmour Academy is an independent, Catholic, coeducational, college-preparatory school offering a Montessori Preschool Program, Lower School, Middle School and Upper School. Gilmour exists to help students prepare for higher education and life’s work while becoming more informed and responsible members of society.
ADMISSION OFFICE GILMOUR ACADEMY 34001 Cedar Road Gates Mills, OH 44040-9356 www.gilmour.org [email protected]
LOWER SCHOOL montessori (18 months-Kindergarten) Grades 1-6 [p] (440) 473-8165 [f] (440) 473-8157
MIDDLE AND UPPER SCHOOL grades 7-12 [p] (440) 473-8050 [f] (440) 473-8010
APPLICANT’S QUESTIONNAIRE
Entire form to be completed by student applying for Grade 4-12.
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APPLICANT INFORMATION This questionnaire is a way for you to present yourself to the Admission Committee at Gilmour Academy. Please complete this form with care and feel free to submit additional information that you believe to be relevant to your candidacy. Applicants for Grades 4-12 should complete in their own handwriting.
FIRST NAME
LAST NAME
STREET
MIDDLE NAME CITY
STATE
PHONE
ZIP
COUNTRY
STUDENT EMAIL ADDRESS
List schools and location (city, state) you have attended, starting with most recent. GRADE LEVEL(S)
SCHOOL
DATES ATTENDED from-to
What academic subjects do you most enjoy, and why?
What subjects do you enjoy the least or find most difficult, and why?
Please tell us how or why you first became interested in applying to Gilmour Academy.
Please list other schools to which you are applying.
BROTHERS AND SISTERS
CURRENT GRADE
SCHOOL OR COLLEGE
Do you have relatives who attended Gilmour Academy or Glen Oak School? If so, please indicate their class years and their relationships to you: FIRST NAME
LAST NAME
MAIDEN NAME
RELATIONSHIP
CLASS YEAR
FIRST NAME
LAST NAME
MAIDEN NAME
RELATIONSHIP
CLASS YEAR
FIRST NAME
LAST NAME
MAIDEN NAME
RELATIONSHIP
CLASS YEAR
Please tell us about your extracurricular and recreational interests (arts, athletics, community service, etc.) in and out of school, in order of their importance to you. Please note any honors, awards and achievements of which you are proud.
How have you spent your last two summers?
PERSONAL ESSAY Please choose one of the following topics and write an essay in the space provided. Put a check in the box next to the question you are answering. Please write in your own words and in your own handwriting. (If you choose, in addition to the handwritten essay, you may also submit a typed copy.) 1. Describe an accomplishment in your life of which you are particularly proud and explain why it makes you feel this way. 2. Describe a person, other than a relative, whom you have known personally and explain why he or she has made an impact in your life. 3. Describe the greatest challenge you have ever faced in your life. How did you react to, or overcome, this challenge? 4. Discuss why you are applying to Gilmour Academy and what you would hope to accomplish while here.
If you need more space to complete your personal essay, please use and attach a separate sheet.
(Over)
APPLICANT INFORMATION Have you ever had scholastic or disciplinary difficulties?
YES
NO
Have you ever had social or emotional difficulties?
YES
NO
Have you ever required or received special support (tutoring, counseling, medical, etc.) at home or school?
YES
NO
If “yes” to any of the above, please explain here or on a separate sheet.
Please list any serious illnesses, operations, health conditions, or accidents, and your approximate age at the time. (Since Gilmour Academy is a private educational institution that does not receive federal funding, the Academy is not subject to the Individuals with Disabilities Education Act (IDEA). Gilmour Academy may not have the facilities or resources available to address all of the needs of potential students with disabilities or health conditions. If any special needs or accommodations may be necessary to attend Gilmour Academy based on a disability or a health condition, please explain the details.) NOT APPLICABLE
Present health:
PHOTO Please attach a recent photo of yourself so that the Admission Committee may better remember you.
SIGNATURES APPLICANT’S SIGNATURE (if applying for grades 4-12)
DATE MM/DD/YY
(My signature indicates that all information and work on this application is accurate, complete, my own, and in my own handwriting.)
PARENT’S SIGNATURE (required)
DATE MM/DD/YY
(My signature indicates that all information on this application is accurate and complete.) Gilmour Academy is an independent, Catholic, coeducational, college-preparatory school offering a Montessori Preschool Program, Lower School, Middle School and Upper School. Gilmour exists to help students prepare for higher education and life’s work while becoming more informed and responsible members of society. Gilmour Academy admits students of any race, color, religion, gender, and national and ethnic origin to all rights, privileges, programs, and activities generally accorded or made available to students at the school. It does not discriminate on the basis of race, color, religion, gender, and national and ethnic origin in administration of its educational policies, scholarship and loan programs, or athletic and other school-administered programs.
ADMISSION OFFICE GILMOUR ACADEMY 34001 Cedar Road Gates Mills, OH 44040-9356 www.gilmour.org [email protected]
LOWER SCHOOL montessori (18 months-Kindergarten) Grades 1-6 [p] (440) 473-8165 [f] (440) 473-8157
MIDDLE AND UPPER SCHOOL grades 7-12 [p] (440) 473-8050 [f] (440) 473-8010
4
CURRENT ENGLISH TEACHER RECOMMENDATION
Required for Grade 4 - 12 applicants
INSTRUCTIONS FOR THE APPLICANT Please print your name and school below and give this form and a return envelope to your current English teacher. If applying from outside the United States, you must collect the sealed envelope from your teacher and return it to the Admission Office. FIRST NAME
LAST NAME
TO THE PARENT/GUARDIAN: Please read the following statement and sign below. I acknowledge that I waive my rights to read the confidential teacher recommendations and the school report for the student listed above. NAME OF PARENT OR GUARDIAN
SIGNATURE
DATE MM/DD/YY
INSTRUCTIONS FOR THE TEACHER This student is a candidate for admission to Gilmour Academy. PLEASE COMPLETE BOTH SIDES OF THIS FORM AND RETURN IT IN THE ENVELOPE PROVIDED OR DIRECTLY TO: The Admission Office, Gilmour Academy, 34001 Cedar Road, Gates Mills, Ohio 44040-9356. If the candidate is applying from outside the United States, please place this form in the envelope, seal it, sign across the envelope seal, and return it to the candidate. Thank you. In what subjects and during which academic years have you taught this applicant? How long, and in what other contexts, have you known the applicant?
Please rate the applicant in the following areas in relation to his or her peers, and in relation to others you have known in this age group. ACADEMIC EVALUATION
EXCELLENT
GOOD
FAIR
POOR
N/A
EXCELLENT
GOOD
FAIR
POOR
N/A
Academic potential Academic achievement Ability to work independently Ability to work with others Imagination and creativity Intellectual curiosity Reading comprehension Reading speed Clarity of written communication Clarity of oral communication Effort and persistence Ability to hand work in on time Study habits
PERSONAL EVALUATION Conduct Concern for others Emotional stability Integrity/Honesty Leadership skills Maturity Peer compatibility Relationship with adults Self-confidence Sense of humor Family support
(Over)
PLEASE TAKE A FEW MINUTES TO COMMENT ON THE FOLLOWING: The student’s ability to move from literal to figurative interpretations.
The student’s ability to organize and communicate ideas in both speech and composition.
The student’s willingness to revise work and learn from his or her mistakes.
Does the student have particular strengths or weaknesses of which we should be aware? Academic, learning, or behavioral issues?
What adjectives best describe this student?
Additional comments?
RECOMMENDATION I RECOMMEND THIS STUDENT FOR ADMISSION: WITHOUT RESERVATION
STRONGLY
MILDLY
WITH RESERVATIONS
NOT AT ALL
SIGNATURE
DATE MM/DD/YY
PHONE
NAME (please print)
ADDRESS
CITY
STATE
TITLE
ZIP
COUNTRY
We appreciate your time and effort in completing this evaluation. Your insight will help us gain a better understanding of the applicant as a student and individual. Gilmour Academy is an independent, Catholic, coeducational, college-preparatory school offering a Montessori Preschool Program, Lower School, Middle School and Upper School. Gilmour exists to help students prepare for higher education and life’s work while becoming more informed and responsible members of society.
ADMISSION OFFICE GILMOUR ACADEMY 34001 Cedar Road Gates Mills, OH 44040-9356 www.gilmour.org [email protected]
LOWER SCHOOL montessori (18 months-Kindergarten) Grades 1-6 [p] (440) 473-8165 [f] (440) 473-8157
MIDDLE AND UPPER SCHOOL grades 7-12 [p] (440) 473-8050 [f] (440) 473-8010
5
CURRENT MATH TEACHER RECOMMENDATION
Required for Grade 4 - 12 applicants
INSTRUCTIONS FOR THE APPLICANT Please print your name and school below and give this form and a return envelope to your current Math teacher. If applying from outside the United States, you must collect the sealed envelope from your teacher and return it to the Admission Office. FIRST NAME
LAST NAME
TO THE PARENT/GUARDIAN: Please read the following statement and sign below. I acknowledge that I waive my rights to read the confidential teacher recommendations and the school report for the student listed above. NAME OF PARENT OR GUARDIAN
SIGNATURE
DATE MM/DD/YY
INSTRUCTIONS FOR THE TEACHER This student is a candidate for admission to Gilmour Academy. PLEASE COMPLETE BOTH SIDES OF THIS FORM AND RETURN IT IN THE ENVELOPE PROVIDED OR DIRECTLY TO: The Admission Office, Gilmour Academy, 34001 Cedar Road, Gates Mills, Ohio 44040-9356. If the candidate is applying from outside the United States, please place this form in the envelope, seal it, sign across the envelope seal, and return it to the candidate. Thank you. In what subjects and during which academic years have you taught this applicant? How long, and in what other contexts, have you known the applicant?
Please rate the applicant in the following areas in relation to his or her peers, and in relation to others you have known in this age group. ACADEMIC EVALUATION
EXCELLENT
GOOD
FAIR
POOR
N/A
PERSONAL EVALUATION
EXCELLENT
GOOD
FAIR
POOR
N/A
Academic potential Academic achievement Ability to work independently Ability to work with others Knowledge of basic math skills Intellectual curiosity Analytical thinking Effort and persistence Ability to hand work in on time Study habits
Conduct Concern for others Emotional stability Integrity/Honesty Leadership skills Maturity Peer compatibility Relationship with adults Self-confidence Sense of humor Family support
What course and/or level would you recommend the student take next year? (Over)
PLEASE TAKE A FEW MINUTES TO COMMENT ON THE FOLLOWING: The student’s ability to grasp and retain concepts.
The student’s mathematical reasoning ability.
The student’s willingness to revise work and learn from his or her mistakes.
Does the student have particular strengths or weaknesses of which we should be aware? Academic, learning, or behavioral issues?
What adjectives best describe this student?
Additional comments?
RECOMMENDATION I RECOMMEND THIS STUDENT FOR ADMISSION: WITHOUT RESERVATION
STRONGLY
MILDLY
WITH RESERVATIONS
NOT AT ALL
SIGNATURE
DATE MM/DD/YY
PHONE
NAME (please print)
ADDRESS
CITY
STATE
TITLE
ZIP
COUNTRY
We appreciate your time and effort in completing this evaluation. Your insight will help us gain a better understanding of the applicant as a student and individual. Gilmour Academy is an independent, Catholic, coeducational, college-preparatory school offering a Montessori Preschool Program, Lower School, Middle School and Upper School. Gilmour exists to help students prepare for higher education and life’s work while becoming more informed and responsible members of society.
ADMISSION OFFICE GILMOUR ACADEMY 34001 Cedar Road Gates Mills, OH 44040-9356 www.gilmour.org [email protected]
LOWER SCHOOL montessori (18 months-Kindergarten) Grades 1-6 [p] (440) 473-8165 [f] (440) 473-8157
MIDDLE AND UPPER SCHOOL grades 7-12 [p] (440) 473-8050 [f] (440) 473-8010
6
GENERAL RECOMMENDATION
Required for Grade 4-12 applicants
INSTRUCTIONS FOR THE APPLICANT Please print your name and school below and give this form and a return envelope to your teacher or recommender (see instructions below). If applying from outside the United States, you must collect the sealed envelope from your teacher and return it to the Admission Office. • For Grade 4-12 applicants, this form should be completed by a teacher (other than Math or English) or by another adult (other than a relative or family friend) who knows the applicant through a school-related activity. FIRST NAME
LAST NAME
SCHOOL
TO THE PARENT/GUARDIAN: Please read the following statement and sign below. I acknowledge that I waive my rights to read the confidential teacher recommendations and the school report for the student listed above. NAME OF PARENT OR GUARDIAN
SIGNATURE
DATE MM/DD/YY
INSTRUCTIONS FOR THE TEACHER OR RECOMMENDER This student is a candidate for admission to Gilmour Academy. PLEASE COMPLETE BOTH SIDES OF THIS FORM AND RETURN IT IN THE ENVELOPE PROVIDED OR DIRECTLY TO: The Admission Office, Gilmour Academy, 34001 Cedar Road, Gates Mills, Ohio 44040-9356. If the candidate is applying from outside the United States, please place this form in the envelope, seal it, sign across the envelope seal, and return it to the candidate. Thank you.
How long, and in what context, have you known the applicant? Please rate the applicant in the following areas in relation to his or her peers, and in relation to others you have known in this age group. ACADEMIC EVALUATION
EXCELLENT
GOOD
FAIR
POOR
N/A
EXCELLENT
GOOD
FAIR
POOR
N/A
Academic potential Academic achievement Ability to work independently Ability to work with others Imagination and creativity Intellectual curiosity Knowledge of basic math skills Reading comprehension Reading speed Clarity of written communication Clarity of oral communication Effort and persistence Ability to hand work in on time Study habits
PERSONAL EVALUATION Conduct Concern for others Emotional stability Integrity/Honesty Leadership skills Maturity Peer compatibility Relationship with adults Self-confidence Sense of humor
(Over)
To help us better understand this candidate, please relate an experience that characterizes him or her.
Does the student have particular strengths or weaknesses of which we should be aware? Academic, learning, or behavioral issues?
What adjectives best describe this student?
Additional comments?
RECOMMENDATION I RECOMMEND THIS STUDENT FOR ADMISSION: WITHOUT RESERVATION
STRONGLY
MILDLY
WITH RESERVATIONS
NOT AT ALL
SIGNATURE
DATE MM/DD/YY
PHONE
NAME (please print)
ADDRESS
CITY
STATE
TITLE
ZIP
COUNTRY
We appreciate your time and effort in completing this evaluation. Your insight will help us gain a better understanding of the applicant as a student and individual. Gilmour Academy is an independent, Catholic, coeducational, college-preparatory school offering a Montessori Preschool Program, Lower School, Middle School and Upper School. Gilmour exists to help students prepare for higher education and life’s work while becoming more informed and responsible members of society.
ADMISSION OFFICE GILMOUR ACADEMY 34001 Cedar Road Gates Mills, OH 44040-9356 www.gilmour.org [email protected]
LOWER SCHOOL montessori (18 months-Kindergarten) Grades 1-6 [p] (440) 473-8165 [f] (440) 473-8157
MIDDLE AND UPPER SCHOOL grades 7-12 [p] (440) 473-8050 [f] (440) 473-8010
PARENTS’ COMMENTS
Required for Grade 4-12 applicants
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INSTRUCTIONS FOR THE PARENTS STUDENT’S FIRST NAME
LAST NAME
STUDENT’S SCHOOL
TO THE PARENT: Please complete this form to help us better know your son or daughter. If necessary, please attach a separate sheet. Please return the form to Gilmour Academy in the envelope provided. Please describe your educational goals for your son or daughter, as well as how you see Gilmour Academy contributing to these goals.
To help us better understand your child, please relate an experience that characterizes him or her.
(Over)
Please describe your impressions of your son’s or daughter’s strengths, as well as any areas needing improvement.
Has your child ever had: YES
NO
SPECIAL ACADEMIC SUPPORT, TUTORING OR COUNSELING? SCHOLASTIC OR DISCIPLINARY DIFFICULTIES? SOCIAL OR EMOTIONAL DIFFICULTIES? HEALTH DIFFICULTIES?
If “yes” to any of the above, please explain here or on a separate sheet.
Since Gilmour Academy is a private educational institution that does not receive federal funding, the Academy is not subject to the Individuals with Disabilities Education Act (IDEA). Gilmour Academy may not have the facilities or resources available to address all of the needs of potential students with disabilities or health conditions. If any special needs or accommodations may be necessary to attend Gilmour Academy based on a disability or a health condition, please explain the details. NOT APPLICABLE
SIGNATURE
DATE MM/DD/YY
NAME (please print)
RELATIONSHIP TO APPLICANT
ADMISSION OFFICE GILMOUR ACADEMY 34001 Cedar Road Gates Mills, OH 44040-9356 www.gilmour.org [email protected]
LOWER SCHOOL montessori (18 months-Kindergarten) Grades 1-6 [p] (440) 473-8165 [f] (440) 473-8157
MIDDLE AND UPPER SCHOOL grades 7-12 [p] (440) 473-8050 [f] (440) 473-8010
