SchoolCues

Cottonwood Day School

Admission form

Students with learning disabilities need a specific learning approach to achieve academic success. Cottonwood Day School provides a unique and exceptional learning environment to students with learning disabilities. Cottonwood Day school’s specialized approach to instruction takes into consideration that each student’s learning style is unique.

Student Details

Student Information

First Name^*

Last Name^*

Date of Birth (or due date)^*

Gender^*

School Year Applying for^*

Current Grade / Program Enrolled In

Current School Enrolled In

Grade / Program Applying to ^*

Parent/Guardian Information

Title^*

First Name^*

Last Name^*

Relationship to Applicant^*

Email^*

Phone^* (Primary Contact Number)

Phone Type^* (Primary Contact Type)

Address

Address Line 1^*

Address Line 2

City^*

State^*

Zip^*

Country^*

Sibling Information

Do you have a sibling who is currently attending or had attended our school in the past?

Currently attending

Attended in the past

First Sibling Name

First Sibling Year Attended

Second Sibling Name

Second Sibling Year Attended

Questionnaire

Intake Form

Please provide us with additional information about your child/children.

Please indicate current performance level in reading? Please indicate specific strengths and/or challenges. *

Please indicate current performance level in math. Please indicate specific strengths and/or challenges. *

Please indicate current performance level in writing? Please indicate specific strengths and/or challenges. *

Please indicate current performance level in social skills? Please indicate specific strengths and/or challenges. *

Does your child have challenges in any of the following areas; attention, memory, processing speed? *

Does your child have Speech Language challenges, if so please explain. *

Does your child or has your child ever received Physical Therapy, please explain. *

Does your child or has your child ever received Occupational Therapy, if so please explain. *

Please provide us with a descriptive summary of your child, including their strengths and areas of challenge. *

Tour Schedule

SCHEDULE AN APPOINTMENT

Tour Name

Comments/Questions

How did you hear about us?

Please specify

4065863409

info@cottonwooddayschool.org

10180 S Cottonwood Rd, Bozeman, MT 59718

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