elementary application

ELEMENTARY APPLICATION
Admission Requirements
Students entering Lincoln School must meet the following academic requirements:
1. A minimum grade of 2.67 or 80% or B for the past three years in the core courses
(Language Arts, Math, Science, Social Studies)
2. Satisfactory behavior with a minimum grade of 2.67 or 80% or B in conduct for the past
three years with no expulsions, suspensions, probations or conditional admission or
discipline contracts
3. Satisfactory results on Lincoln Assessments
Admission Procedures
Families must provide the following information for the admissions process:
1. Pre-Enrollment Form
2. Request for New Associates Form
3. One copy of the child’s birth certificate
4. Two passport size photographs
5. An up to date record of the child’s vaccinations
6. Official school transcripts of the child’s last three (3) school years, in a sealed envelope
and a copy of the most recent report card
7. A confidential and sealed reference letter from the previous school’s Counselor or Director
addressing the student’s academic effort and behavior during the past three (3) school
years
8. A reference from the Financial Department of the previous school showing a satisfactory
payment history (for students entering from a private school)
For Lincoln families a copy of the last school statement
9. Two letters of recommendation from Lincoln School Associates recommending the family
to the Board of Directors (members from the Board can’t provide letters). For foreign
families, in lieu of the two Associates’ letters, families may present a) a personal letter
requesting admission, stating their personal situation in Costa Rica and their interest in
becoming Lincoln School Associates, and b) a letter of recommendation from their
employer, lawyer, respective embassy or other credible source.
10. Letter from employer verifying employment for the associate
11. One copy of the future Associates passport, for Costa Rican citizens a copy of the “cedula”
When the above information has been submitted and requirements have been met, the student
will be scheduled for a Lincoln Assessment. Parents will be scheduled for an interview with a
Counselor during the Assessment.
The Elementary Principal reviews the admissions information, results of the Test and
recommendation of the Counselor. The Principal makes a decision regarding enrollment. The
Board of Directors makes the final decision regarding association of the new family.
Once the Board has approved, the parents will be contacted to make the necessary payments
and complete the following documents for the enrollment process:
a. Enrollment Form
b. Contract
c. Medical Form
d. Bus Request Form
e. Emergency Medical Information Form
f. Student Emergency Form
g. School Handbook Agreement
h. Policy on Drugs and Alcohol Agreement
Pre-enrollment Form
Date:
Applying for grade:
STUDENT INFORMATION
Name of student:
Sex: _______
Date of Birth:
Nationality:
Type of identification: Passport
I. D Card
Residence
Identification card number:
Is the student fluent in English?
Yes
No
Is the student fluent in Spanish?
Yes
No
Does the student have?
- Brother (s) or sister (s) currently enrolled at Lincoln School?
- A parent that graduated from Lincoln School?
- A parent working at Lincoln School?
Are the student parents:
Married
divorced
The student lives with:
Both parents
mother
separated
father
In absence of both parents please contact:
Telephone number:
other
other
FATHER INFORMATION
Name of the father: ______________________________________________________
Type of identification:
Passport
I.D Card
Residence ________
Identification Card number: ______________________ Nationality: ________________
Highest Academic Degree Earned:
Elementary ____ High school ____ Vocational ____ Graduate____ Post Graduate____
Occupation:
Place of work:
Address of place of work:
Office phone:
Mobile:
E-mail:
P.O. Box:
Home phone:
Fax:
Home address:
Native Language: _____________________
MOTHER INFORMATION
Name of the mother:
Type of identification:
Passport
I.D Card
Residence
Identification Card number:
Highest Academic Degree Earned:
Elementary ____ High school ____ Vocational ____ Graduate ____ Post Graduate ___
Occupation:
Place of work:
Address of place of work:
Office phone:
Mobile:
P.O. Box:
Fax:
E-mail:
Home phone:
Home address:
_______________________________________________________________________
Native Language: ________________________
GENERAL INFORMATION
Name and phone number of the Pediatrician:
Who recommended Lincoln School?
Is the student interested in using the school´s transportation service?
Yes
No
If interested, will the student be using the service during?Mornings_Afternoons_Both__
Name of child / Nombre del niño (a):
Date of birth / Fecha de nacimiento:
Name of father / Nombre del padre:
Name of mother/ Nombre de madre
Mark with an X / Señale con una X:
Lincoln School Associates / Asociados:
Alumni /Ex lumnos:
General Public / Público General :
Teacher´s child / Hijo de Profesor:
SCHOOL BACKGROUND / HISTORIAL ACADEMICO
Name of School
/ Nombre de la
escuela
Year (s)
attended /
Años que
asistió
General level
completed/
Grado concluido
Reason for
transfer/
Motivo de
Traslado
I.
Growth and Development/Antecedentes del desarrollo (Only for
pre-school applicants / Solamente para quienes aplican para preescolar)
1.
Pregnancy and delivery / Embarazo y parto
2.
Breast feeding period / Período de lactancia
3. Age when he / she walked without help/Edad en que caminó sin ayuda
4. Potty trained during the day:
Control esfínteres diurno:
during the night:
nocturno:
5. Left the bottle / Edad a que dejó el biberón:
6. First words / Primeras palabras (age/edad)
7. Full language / Lenguaje completo (age/edad)
8. Noted speech problems / Problemas de articulación (explain/explicar)
9. Sleeping habits / Hábitos de sueño:
10. Eating habits / Hábitos alimenticios:
II.
General and Educational Background /Antecedentes Educativos y
Generales
1. Preschool or school experience / Experiencia en pre-escolar o en la escuela
2. Attitude towards school/ Actitud hacia la escuela
2. Performance and behavior/Desempeño y comportamiento
3. Has the child repeated an academic year?/Ha repetido algún grado académico
(Explain/Explicar)
5. In the presence of academic demands, how would you organize your time to help
your child? Ante las demandas académicas, ¿cómo se organizarían para apoyar al
niño(a)?
6. How important is it for you that your child learns a language other than his native
one? ¿Qué significado tiene para usted el que su hijo/a aprenda una lengua que no
es la natal?
7. Does the father speak English?
¿Habla inglés el padre?
Level: Fluent __ Intermed__Marginal__
Does the mother?
¿La madre?
Level: Fluent___Intermed___Marginal___
8. Who recommended Lincoln School to you? ¿Quién le recomendó Lincoln School?
9. Reason for entrance or transfer to Lincoln School / Razón para ingresar o
trasladarse al Colegio Lincoln
III. Family Dynamics/Dinámica familiar
1. Family composition/Composición familiar
Name /
Nombre
Age /
Edad
Relation /
Parentesco
2. Describe communication among members / Describir comunicación
ente sus miembros
3. Authority and discipline/Autoridad y disciplina:
4. Shared activities/Actividades compartidas:
5. Parents are: married:
Padres están: casados:
separated:
separados:
divorced:
divorciados:
6. Relationship with father / Relación con el padre:
7. Relationship with mother / Relación con la madre:
8. Relationship with siblings / Relación con hermanos:
other:
otros:
9. Significant events in the life of the child (death, sickness,
separation)/Hechos significativos en la vida del niño (duelos,
enfermedades, separaciones)
IV.
Relationship Outside the Family/Relaciones sociales
a. Relation with other children/ Relación con otros niños
b. Activities preferred by the child/ Actividades preferidas por el niño
V.
Medical History / Antecendentes médicos
a. General medical history (chronic illnesses, hospitalizations, etc.) / Historia
médica general (enfermedades crónicas, hospitalizaciones, etc.)
b. Any health problems that require special attention/Problemas de salud
que requieran atención
c. Any history of psychological and/or psychiatric treatment? If yes, explain/
Tratamiento psicológica o psiquiátrica, explique.
_______________________________________________________________________
I hereby testify that all the information stated in this application is true and accurate.
Parent
Name:______________________Signature:________________Date:_____
INTERVIEW FORM
(To be filled by the Counselor)
Date of interview: _____________________
Attendees: ________________________________________
______________________
Interviewer Name
_______________________
Signature
Request of Association for New Parents
Date: __________________
Full name of new associate:
Passport or ID card number : _____________________
Nationality: ________________________
Profesión, position and place of work: _______________________________________________
______________________________________________________________________________
Office Phone: _________________ Fax:_______________________________
Mobile: ______________________ E-mail: _________________________________________
Home Phone: ____________________
Home Address: ______________________________________________
NAME OF STUDENT/ NOMBRE
GRADO /GRADE
DEL ESTUDIANTE
NATIONALITY/
NACIONALIDAD
Name of two other associate members of Lincoln School who will provide letters of
recommendation (Board Members excluded):
1.
2.
I authorize Lincoln School’s Board of Directors, or to the official or officials to whom it designates, in order to verify the
information relevant to my association application. This may include verification of employment, contact with the
previous school, and the use of "Datum" services and any other as it deems appropriate.
Name: __________________________________________
Date: _______________________________
Signature: _______________________________________________ ID: __________________________