LOWER DIVISION APPLICATION
L O W E R D I V I S I O N A P P L I C AT I O N
LOW E R D IVIS ION APPLI C ATION FOR PR E - K IN D E RG AR TE N , K IN D E RG AR TE N , G R A D E S 1– 5 Families of prospective students for Lower Division admission should complete the following application. Once completed, please separate the application from the instructions and mail the form to: D I R E CTO R O F AD M I S S I O N S, B E R K E LEY P R E PARATO RY S C H O O L, 4 811 K E LLY R OAD, TAM PA, F L 33 615
Early childhood admission screenings at Berkeley Preparatory School (Pre-K, K and First Grade) seek to identify those applicants who would be successful within the context of the learning environment offered. The options available range from appropriate grade level and program groupings to whether or not Berkeley is in fact the most viable choice for your child. Based on years of professional experience, decisions encompass all the factors which help predict a “good fit” between student and school. Specifically, our placement recommendations are influenced primarily by determining each child’s developmental level of functioning rather than relying solely on
D E A D LIN E Application is best made in the fall of the year before anticipated entrance. Although our deadline is January 30, we reserve the right to limit applications once available screening appointments are filled. Applications received after January 30 will be considered on a spaceavailable basis. The Admissions Committee will make its decision in March and offers of admission will be mailed at that time.
chronological age, measures of intelligence or academic achievement. Success in school requires cognitive ability and appropriate developmental placement for a child to cope with all aspects of school life without undue stress or pressure. The early childhood years are precious, yet brief. This is a time of discovery, delight, joy and wonder when children savor each new experience.
VIS ITS TO B E R K E LE Y Prior to your child’s individual screening, prospective families are encouraged to schedule a campus visit. Berkeley’s Admissions Open
This is what Berkeley wants for its students.
House will provide an additional opportunity to learn about our
Admission to Second through Fifth Grade is a selective process based
until 2:00 p.m. Please call the Admissions Office for information and
on assessment of the child’s classroom visit, previous school’s records, a
appointments.
current school recommendation, and performance on achievement testing at Berkeley. The Admissions Committee strives to determine an applicant’s readiness and ability to succeed in our program as compared with current and applying students. Openings are limited at these levels. INS TRU C TIONS FOR C O M PLE TING APPLI C ATION
school. Tours are available Monday through Friday from 8:00 a.m.
Applicants will be visiting Berkeley for their admissions screenings scheduled in December, January and February. Please refer to the Lower Division Admissions Calendar.
FE E S
Complete all questions on the application.
A non-refundable application fee of $75.00 is required.
Attach a copy of the applicant’s birth certificate, his/her photograph
When an applicant is accepted for admission, the parents will be
(optional, but encouraged) and the $75.00 application fee.
sent enrollment instructions. In order to secure a place, the contract
Sign Permission for School to Release Student Records, located on School Recommendation Checklist, and deliver to the applicant’s current school after the first grading period. The recommendation should be completed by your child’s current teacher and signed by the principal or head of school.
and appropriate deposit should be completed by the date indicated. This deposit is the first payment of the yearly tuition. The remaining payments are due in July, August, September, October, November, December and January.
Please have completed School Recommendation Checklist and transcript (if applicable) forwarded directly to the Admissions Office before your child visits for his/her screening. A return envelope is provided for your school’s convenience. Expect Berkeley to confirm receipt of your application via letter scheduling your child’s screening dates.
Thank you for your interest in Berkeley Preparatory School. We look forward to seeing you. For more information visit our web site at www.berkeleyprep.org
FIN AN C IAL AI D For more information regarding the financial aid process, please refer to the insert or visit us at www.berkeleyprep.org/ tuitionandfinancialaid.
PK–5 LOW E R D IVI S I O N AP P L I CATI O N Please submit by January 30th with the $75.00 application fee. APPLI C ANT ’ S N A M E (Last, First, Middle, & Prefers to be called)
Home Address City State
Zip
Date of Birth Place of Birth
Gender Citizenship
E THNI C IT Y (Optional)
African American
Caucasian
Middle Eastern
Multiracial
Asian American
Latino/Hispanic
Native American
Other
R E LIG ION (Optional) Primary language spoken in the home Applicant for admission to the
(grade) beginning August
(year)
Age (on September 1st of proposed entrance)
(Applicant should be at least 4 years old on Sept. 1st for Pre-K or 5 for K)
Has the applicant applied to Berkeley previously? If so, when?
What grades, if any have been skipped or repeated?
PR E S E NT S C HOOL
School Address
School Phone ( ) Headmaster/Principal Present Grade Number of years attended
FOR M E R S C HOOL S (List in order, most recent first.) Dates Attended
School Name Address
Dates Attended
School Name Address
Has the applicant applied to other schools?
Yes
No
Please list other schools where applications have been filed.
PAR E NT/GUAR D IAN 1 Full Name (Dr./Mr./Mrs./Ms.) Cell Telephone ( Home Address (if different from applicant’s) Home Telephone (
) )
Occupation/Title Business Telephone (
)
Employer Preferred Email Business Address College and Degrees
PAR E NT/GUAR D IAN 2 Full Name (Dr./Mr./Mrs./Ms.) Cell Telephone ( Home Address (if different from applicant’s) Home Telephone (
) )
Occupation/Title Business Telephone (
)
Employer Preferred Email Business Address College and Degrees Parents/Guardians are
Married
Divorced
Separated
Single Parent
Mother Deceased
Father Deceased
Mother Remarried
Father Remarried
If you anticipate requesting financial aid, please check. A financial aid information packet will be mailed to you after November 1.
All admission correspondence will be sent to the applicant’s home address unless otherwise noted.
1
S IBLINGS Name Birthdate
School
Name Birthdate
School
Name Birthdate
School
R E L ATIV E S who attend or have attended Berkeley Preparatory School Name Years Attended
Date of Graduation
Relationship
Name Years Attended
Date of Graduation
Relationship
How did you hear about Berkeley?
PAR E NT/GUAR D IAN S IG N ATUR E S I/We agree to support and abide by School regulations and guidelines not only at the time of admission but also throughout subsequent years of attendance. All enrollments are for the entire school year. I/We authorize Berkeley Preparatory School to contact current and previous schools and other sources to obtain information to support this application. I/We will not seek access to confidential recommendations and evaluation materials before or after the admissions decision is made. Signature of Parents/Guardians
S C R E E NIN G AN D/OR V IS IT DATE S The Admissions Office will assign dates after receipt of application. Dates unable to attend
PAR E NT/GUAR D IAN S TATE M E NT Please tell us anything that might help the Admissions Committee better understand your child.
S PE C IAL C IR CU MS TAN C E S 1. Please provide any information which would assist us in working with your child.
2. Has the applicant ever been subject to disciplinary action, suspension or dismissal from previous schools?
Yes
No
Explanation
Berkeley Preparatory School admits students of any race, sex, color, religion, national or ethnic origin and does not discriminate on the basis of any of these categories or any other category protected by law in the administration of its educational policies, admissions policies, scholarship and loan programs, athletic and other school administered programs.
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LOW E R D IVIS ION APPLI C ATION FOR PR E - K IN D E RG AR TE N , K IN D E RG AR TE N , G R A D E S 1– 5 Families of prospective students for Lower Division admission should complete the following application. Once completed, please separate the application from the instructions and mail the form to: D I R E CTO R O F AD M I S S I O N S, B E R K E LEY P R E PARATO RY S C H O O L, 4 811 K E LLY R OAD, TAM PA, F L 33 615
Early childhood admission screenings at Berkeley Preparatory School (Pre-K, K and First Grade) seek to identify those applicants who would be successful within the context of the learning environment offered. The options available range from appropriate grade level and program groupings to whether or not Berkeley is in fact the most viable choice for your child. Based on years of professional experience, decisions encompass all the factors which help predict a “good fit” between student and school. Specifically, our placement recommendations are influenced primarily by determining each child’s developmental level of functioning rather than relying solely on
D E A D LIN E Application is best made in the fall of the year before anticipated entrance. Although our deadline is January 30, we reserve the right to limit applications once available screening appointments are filled. Applications received after January 30 will be considered on a spaceavailable basis. The Admissions Committee will make its decision in March and offers of admission will be mailed at that time.
chronological age, measures of intelligence or academic achievement. Success in school requires cognitive ability and appropriate developmental placement for a child to cope with all aspects of school life without undue stress or pressure. The early childhood years are precious, yet brief. This is a time of discovery, delight, joy and wonder when children savor each new experience.
VIS ITS TO B E R K E LE Y Prior to your child’s individual screening, prospective families are encouraged to schedule a campus visit. Berkeley’s Admissions Open
This is what Berkeley wants for its students.
House will provide an additional opportunity to learn about our
Admission to Second through Fifth Grade is a selective process based
until 2:00 p.m. Please call the Admissions Office for information and
on assessment of the child’s classroom visit, previous school’s records, a
appointments.
current school recommendation, and performance on achievement testing at Berkeley. The Admissions Committee strives to determine an applicant’s readiness and ability to succeed in our program as compared with current and applying students. Openings are limited at these levels. INS TRU C TIONS FOR C O M PLE TING APPLI C ATION
school. Tours are available Monday through Friday from 8:00 a.m.
Applicants will be visiting Berkeley for their admissions screenings scheduled in December, January and February. Please refer to the Lower Division Admissions Calendar.
FE E S
Complete all questions on the application.
A non-refundable application fee of $75.00 is required.
Attach a copy of the applicant’s birth certificate, his/her photograph
When an applicant is accepted for admission, the parents will be
(optional, but encouraged) and the $75.00 application fee.
sent enrollment instructions. In order to secure a place, the contract
Sign Permission for School to Release Student Records, located on School Recommendation Checklist, and deliver to the applicant’s current school after the first grading period. The recommendation should be completed by your child’s current teacher and signed by the principal or head of school.
and appropriate deposit should be completed by the date indicated. This deposit is the first payment of the yearly tuition. The remaining payments are due in July, August, September, October, November, December and January.
Please have completed School Recommendation Checklist and transcript (if applicable) forwarded directly to the Admissions Office before your child visits for his/her screening. A return envelope is provided for your school’s convenience. Expect Berkeley to confirm receipt of your application via letter scheduling your child’s screening dates.
Thank you for your interest in Berkeley Preparatory School. We look forward to seeing you. For more information visit our web site at www.berkeleyprep.org
FIN AN C IAL AI D For more information regarding the financial aid process, please refer to the insert or visit us at www.berkeleyprep.org/ tuitionandfinancialaid.
PK–5 LOW E R D IVI S I O N AP P L I CATI O N Please submit by January 30th with the $75.00 application fee. APPLI C ANT ’ S N A M E (Last, First, Middle, & Prefers to be called)
Home Address City State
Zip
Date of Birth Place of Birth
Gender Citizenship
E THNI C IT Y (Optional)
African American
Caucasian
Middle Eastern
Multiracial
Asian American
Latino/Hispanic
Native American
Other
R E LIG ION (Optional) Primary language spoken in the home Applicant for admission to the
(grade) beginning August
(year)
Age (on September 1st of proposed entrance)
(Applicant should be at least 4 years old on Sept. 1st for Pre-K or 5 for K)
Has the applicant applied to Berkeley previously? If so, when?
What grades, if any have been skipped or repeated?
PR E S E NT S C HOOL
School Address
School Phone ( ) Headmaster/Principal Present Grade Number of years attended
FOR M E R S C HOOL S (List in order, most recent first.) Dates Attended
School Name Address
Dates Attended
School Name Address
Has the applicant applied to other schools?
Yes
No
Please list other schools where applications have been filed.
PAR E NT/GUAR D IAN 1 Full Name (Dr./Mr./Mrs./Ms.) Cell Telephone ( Home Address (if different from applicant’s) Home Telephone (
) )
Occupation/Title Business Telephone (
)
Employer Preferred Email Business Address College and Degrees
PAR E NT/GUAR D IAN 2 Full Name (Dr./Mr./Mrs./Ms.) Cell Telephone ( Home Address (if different from applicant’s) Home Telephone (
) )
Occupation/Title Business Telephone (
)
Employer Preferred Email Business Address College and Degrees Parents/Guardians are
Married
Divorced
Separated
Single Parent
Mother Deceased
Father Deceased
Mother Remarried
Father Remarried
If you anticipate requesting financial aid, please check. A financial aid information packet will be mailed to you after November 1.
All admission correspondence will be sent to the applicant’s home address unless otherwise noted.
1
S IBLINGS Name Birthdate
School
Name Birthdate
School
Name Birthdate
School
R E L ATIV E S who attend or have attended Berkeley Preparatory School Name Years Attended
Date of Graduation
Relationship
Name Years Attended
Date of Graduation
Relationship
How did you hear about Berkeley?
PAR E NT/GUAR D IAN S IG N ATUR E S I/We agree to support and abide by School regulations and guidelines not only at the time of admission but also throughout subsequent years of attendance. All enrollments are for the entire school year. I/We authorize Berkeley Preparatory School to contact current and previous schools and other sources to obtain information to support this application. I/We will not seek access to confidential recommendations and evaluation materials before or after the admissions decision is made. Signature of Parents/Guardians
S C R E E NIN G AN D/OR V IS IT DATE S The Admissions Office will assign dates after receipt of application. Dates unable to attend
PAR E NT/GUAR D IAN S TATE M E NT Please tell us anything that might help the Admissions Committee better understand your child.
S PE C IAL C IR CU MS TAN C E S 1. Please provide any information which would assist us in working with your child.
2. Has the applicant ever been subject to disciplinary action, suspension or dismissal from previous schools?
Yes
No
Explanation
Berkeley Preparatory School admits students of any race, sex, color, religion, national or ethnic origin and does not discriminate on the basis of any of these categories or any other category protected by law in the administration of its educational policies, admissions policies, scholarship and loan programs, athletic and other school administered programs.
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