The Following Steps Are Necessary for Applicant to Be Considered for Admission

Rosewood APPLICATION FOR ADMISSION

A. APPLICATION PRODECURE The following steps are necessary for applicant to be considered for admission: 1. Return of the Application Form, Health Form, Transcripts and school Reports 2. Recommendation Form from current school for completion and return to Rosewood 3. Copy of an IEP or Psychological report (if requested/where applicable) 4. Interview with parents and child prior to beginning school 5. Entrance Assessment

B. general information

PLEASE TYPE OR PRINT

For School year: ______Present Age: ______Years Months Class applied for: ______Expected date of entry: ______Month Year Applicant’s name: ______(LAST) (FIRST) (MIDDLE) Place and date of birth: ______/______/______(place) Month Day Year Citizenship: ______

Current Address: ______

Home telephone number: ______

Trinidad address as of: ______

______

How did you first learn of Rosewood? ______C. FAMILY INFORMATION

Father’s full name: ______Citizenship: ______

Employer: ______

Address: ______

Office telephone number: ______Cellular phone no: ______

Father’s position: ______

Email address: ______

Mother’s full name: ______Citizenship: ______

Employer: ______

Address: ______

Office telephone number: ______Cellular phone no: ______

Mother’s position: ______

Email Address: ______

Name of person/company to be invoiced: ______

Applicant lives with: Both Parents ______Rather only ______Mother only ______Other ______

Names and ages of brothers and sisters: ______

______

Home conditions (divorce, separation, adoption, legal guardian. Etc.) ______

Other: ______

______

D. EDUCATIONAL INFORMATION

Full Name and Address of Last school attended: ______

Address: ______

Date of transfer from school previous to above: ____/____/____ Class completed: ______

How many years has the student attended school? Pre- school ______Primary ______Secondary ______

What was the language of instruction? ______

Has the student always been in a standard program? ______

How much time per week was spent out of the regular program? ______

Has the student ever repeated a year? ______if yes, which year? ______

What are the student’s strong subjects? ______What are the student’s weak subjects? ______

Does the student have any individualized Education Program (IEP) reports? Yes _____ No _____

Does the student have any special educational/psychological reports? (if yes, please submit): ______

______

Are there any factors that Rosewood Girls School should be aware of, in order to provide the best educational program for your child? ______

______

Student’s native language: ______

Language(s) generally spoken at home: ______

E. PERMISSION TO OBTAIN AND RELEASE INFORMATION

Rosewood needs your permission to obtain/release information about your child. We are requesting this permission to receive or send information to assist us in meeting your child’s education needs.

I, the undersigned, request and authorize the exchange of the following types of information between:

Previous School / Agency / Person: ______

Address: ______

Phone: ______Fax: ______Cell: ______And Rosewood

Official student academic / administrative records (identifying information, grade level completed, grades, attendance records, and aptitude / achievement test results)

Psychological and / or Multi-disciplinary Team reports.

Special Education records (Learning Plan, Speech records, Behavioral Plan, etc)

Other: ______

I declare that the information herein is truthful and that I will provide the necessary documentation for processing this application. In addition, I realize that: (1) the school reserves the right to reject any application that contains incomplete, inaccurate, or false information; and (2) the school reserves the right to deny acceptance for any application that indicates special needs that cannot be met by our existing programs.

______$150 TT Application Fee Submitted

Signature of parent or guardian below: Date below:

______