ADMISSION APPLICATION ESD 2014 - 2015
THIRD AND FOURTH GRADE Episcopal School of Dallas . 4344 Colgate Avenue . Dallas, Texas 75225 . 214.353.5738 . www.esdallas.org 1
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admission procedures and deadlines
APPLICATION FOR ADMISSION To begin the application process for the 2014 - 2015 school year, please complete and submit the Application Information Form, the Test Registration Form, the Parent Statement and the $100 fee by the January 10, 2014 deadline.
APPLICATION FEE The $100 application fee is non-refundable and must be submitted to the Office of Admission with the Application Information and Test Registration Forms. Checks may be made payable to the Episcopal School of Dallas.
ADMISSION TESTING
PART I: CATS (COLLABORATIVE ACADEMIC TESTING SERVICE) WWW.CATSTEXAS.COM, 214.221.7220 Applicants for Third and Fourth grade must complete two separate testing procedures. The CATS registration form can be found on our website, or copies can be mailed upon request. Please read the CATS registration form carefully. We strongly encourage our applicants to complete this testing at the earliest possible date. Applicants must register for this testing by Friday, January 17, 2014.
PART II ESD participates in shared testing with several other ISAS schools in Dallas for grades Three and Four. If an applicant is applying to two or more of these schools, he/she should only test one time at one of the participating schools. With written parental consent, the test results will be forwarded to the schools to which the candidate has made application.
The ESD test date for Third and Fourth grade applicants is Saturday, January 18, 2014. If you plan to have your child participate in ESD’s January test session, please complete and submit the test reservation form.
RECORDS RELEASE FORM The Office of Admission requires a copy of the applicant’s transcript that includes the first semester of the current school year and the two previous grade levels, if applicable. Forward the Records Release Form to the applicant’s current school. The registrar should send the transcript materials directly to ESD after completion of the first semester or trimester, but no later than Friday, January 10, 2014.
CONFIDENTIAL TEACHER EVALUATION FORM Please provide the applicant’s current teacher with the Confidential Teacher Evaluation Form. You should forward the evaluation form to your child’s teacher no earlier than November 1, 2013. The teacher is asked to forward the evaluation form directly to ESD no later than January 10, 2014.
PARENT STATEMENT The parents or guardians of the applicant should complete the Parent Statement and return it to the Office of Admission no later than January 10, 2014.
TUITION ASSISTANCE Families who are interested in applying for tuition assistance should indicate their interest on the back of the Application Information Form. These materials will be mailed with acceptance letters on March 7, 2014.
ADMISSION DECISIONS Admission decisions for all grades will be sent on March 7, 2014. Episcopal School of Dallas admits qualified students without regard to race, religion, or national origin. Episcopal School of Dallas . 4344 Colgate Avenue . Dallas, Texas 75225 . 214.353.5738 . www.esdallas.org 2
Application_Grades3and4.indd 2 9/10/13 10:01 AM application information DEADLINE: JANUARY 10, 2014
APPLICANT INFORMATION
LAST NAME FIRST NAME MI PREFERRED NAME
STREET ADDRESS CITY STATE ZIP CODE
Home Telephone ( ) Male Female Birthdate / /
Social Security Number - - Candidate for Grade Current Grade
APPLICANT’S FAMILY INFORMATION Parent One DR. MR. MRS. MS. Parent Two DR. MR. MRS. MS.
LAST NAME FIRST NAME MI LAST NAME FIRST NAME MI
Preferred Name Preferred Name
Relationship to Applicant Relationship to Applicant
STREET ADDRESS STREET ADDRESS
CITY STATE ZIP CODE CITY STATE ZIP CODE
Home Telephone ( ) Home Telephone ( )
Cellular Phone ( ) Cellular Phone ( )
Work Telephone ( ) Work Telephone ( )
Email Address Email Address
Occupation Occupation
Employer Employer
Stepparent Name Stepparent Name
Applicant lives with
During the application process, we can only send correspondence to one address. If parents are divorced or separated, to whom should admission correspondence be sent? Mother Father
APPLICANT’S CURRENT SCHOOL INFORMATION Principal/School Head SCHOOL NAME
School Telephone ( ) STREET ADDRESS
Number of Years Attended CITY STATE ZIP CODE
Episcopal School of Dallas admits qualified students without regard to race, religion, or national origin. Episcopal School of Dallas . 4344 Colgate Avenue . Dallas, Texas 75225 . 214.353.5738 . www.esdallas.org 3
Application_Grades3and4.indd 3 9/10/13 10:01 AM PERSONAL INFORMATION (OPTIONAL) Black/African American Asian/Asian American Other Multiracial American White/European American Latino/Hispanic American First Nation/Native American Middle Eastern American Pacific Island/Pacific Island American
1. Is the applicant a sibling of a currently enrolled ESD student? No Yes If yes, please state name and current grade: LAST NAME FIRST NAME MI CURRENT GRADE
2. Did applicant’s mother or father graduate from ESD or attend the former St. Michael School through grades 4, 5 or 6?
Mother: Yes No Father: Yes No Name of alumnus/a Class of 19 LAST NAME FIRST NAME MI MAIDEN NAME
3. Has the applicant applied to ESD previously? No Yes If yes, for which academic years:
4. Religious Preference (optional)
If Episcopalian, please provide parish name
TUITION ASSISTANCE Are you interested in applying for tuition assistance? Yes No Tuition Assistance materials will be mailed to accepted candidates on March 7, 2014.
*Application fee waivers are available to qualified families. All application and registration fees are non-refundable.Please contact the Office of Admission and Tuition Assistance for more information.
CONFIDENTIALITY POLICY AND ACCESS WAIVER I acknowledge that I waive my right of access and that of my child to all confidential information in his or her application file. This includes, but is not limited to, teacher evaluation forms, letters of reference, assessment information and documentation such as interview findings and evaluations, ESD school visit evaluations, and any additional testing results.
I further understand and authorize that my child’s name, test scores, and other related information may be released and shared with schools participating in common testing.
I understand that withholding or misrepresenting information requested in this application will disqualify our application to ESD. The signature(s) below affirm that all of the information contained in this application is correct, complete and honestly presented.
Parent or Guardian Signature Date
Parent or Guardian Signature Date
Please return application by January 10, 2014 to: EPISCOPAL SCHOOL OF DALLAS Lower School 4344 Colgate Avenue Dallas, TX 75225
Episcopal School of Dallas admits qualified students without regard to race, religion, or national origin. Episcopal School of Dallas . 4344 Colgate Avenue . Dallas, Texas 75225 . 214.353.5738 . www.esdallas.org 4
Application_Grades3and4.indd 4 9/10/13 10:01 AM admission test registration form GRADE 3 ONLY
APPLICANT’S INFORMATION
LAST NAME FIRST NAME
The online Independent School Entrance Exam (ISEE) is required for Third grade applicants. After submitting an application, you will receive the necessary information to register your child for the ISEE exam which will require an additional $98 test fee.
Test spaces are limited at each school. We suggest making your reservations at the earliest possible date. If testing at ESD, please indicate below. If your child will not be testing at ESD, you MUST make reservation arrangements with the school test site.
OPTION 1 My child will test at ESD on: Saturday, January 18, 2014 Grade 3 8:30 - 10:30 a.m.
I authorize ESD to send my child’s test results to the schools checked below: Good Shepherd Episcopal School The Lamplighter School Greenhill School Parish Episcopal School The Hockaday School St. Mark’s School of Texas
OPTION 2 My child will NOT take the test at ESD. I authorize ESD to obtain my child’s test results from the school checked below. Please indicate where he/she will be testing (choose only one): Good Shepherd Episcopal School The Lamplighter School Greenhill School Parish Episcopal School The Hockaday School St. Mark’s School of Texas
Please know that you must make test reservations with the school you have chosen above and that your child may only take the admission tests ONE time during this year’s admission cycle. Additionally, you will be contacted by the
I understand that, except under special circumstances determined by the test administrators, subsequent test results are not valid and will not be considered if a test is administered to a student more than once within a six-month period. I also acknowledge that ESD, and the other independent schools listed above, discourage the practice of tutoring for admission tests, as it is not in the best interest of the child.
Parent or Guardian Signature Date
5 GRADES TWO THREE - FOUR AND FOUR admission test registration form GRADE 4 ONLY
APPLICANT’S INFORMATION
LAST NAME FIRST NAME
The online Independent School Entrance Exam (ISEE) is required for Fourth grade applicants. After submitting an application, you will receive the necessary information to register your child for the ISEE exam which will require an additional $98 test fee.
Test spaces are limited at each school. We suggest making your reservations at the earliest possible date. If testing at ESD, please indicate below. If your child will not be testing at ESD, you MUST make reservation arrangements with the school test site.
OPTION 1 My child will test at ESD on: Saturday, January 18, 2014 Grade 4 10:00 a.m. - 12:00 p.m.
I authorize ESD to send my child’s test results to the schools checked below: Good Shepherd Episcopal School The Lamplighter School Greenhill School Parish Episcopal School The Hockaday School St. Mark’s School of Texas
OPTION 2 My child will NOT take the test at ESD. I authorize ESD to obtain my child’s test results from the school checked below. Please indicate where he/she will be testing (choose only one): Good Shepherd Episcopal School The Lamplighter School Greenhill School Parish Episcopal School The Hockaday School St. Mark’s School of Texas
Please know that you must make test reservations with the school you have chosen above and that your child may only take the admission tests ONE time during this year’s admission cycle. Additionally, you will be contacted by the
I understand that, except under special circumstances determined by the test administrators, subsequent test results are not valid and will not be considered if a test is administered to a student more than once within a six-month period. I also acknowledge that ESD, and the other independent schools listed above, discourage the practice of tutoring for admission tests, as it is not in the best interest of the child.
Parent or Guardian Signature Date
6 parent statement
Please complete and return this form no later than January 10, 2014.
APPLICANT’S INFORMATION
LAST NAME FIRST NAME MI PREFERRED NAME
Candidate for grade Present grade
Please list your child’s school and the two previous schools attended, if applicable:
School: Years Attended:
STREET ADDRESS CITY STATE ZIP CODE
School: Years Attended:
STREET ADDRESS CITY STATE ZIP CODE
School: Years Attended:
STREET ADDRESS CITY STATE ZIP CODE
Please comment on what you consider to be your child’s greatest strengths.
What factors contributed to the decision to apply to the Episcopal School of Dallas?
What are your child’s greatest areas of need and what steps have been taken to address these concerns (i.e. tutoring, academic support, etc.)?
Episcopal School of Dallas admits qualified students without regard to race, religion, or national origin. Episcopal School of Dallas . 4344 Colgate Avenue . Dallas, Texas 75225 . 214.353.5738 . www.esdallas.org 7
Application_Grades3and4.indd 7 9/10/13 10:01 AM 2014-20152013-2014 GRADES TWO THREE - FOUR AND FOUR applicant extra-curricular / community service activity chart
Please use the chart below to record any activities in which your son or daughter has participated in the last four years. Activities may include athletics, creative or performing arts, community service, clubs or activities.
ACTIVITY DESCRIBE HIS/ HER PARTICIPATION
SIBLING INFORMATION Please list other children in family, including name, age and school.
Name Age School
Name Age School
Name Age School
We welcome any additional comments. If you wish, you may write additional comments on a separate piece of paper. We feel a parent’s perspective of the applicant is quite valuable in getting to know the student.
Please note: Third and Fourth grade students attend class five days per week from 8:00 am to 3:30 pm.
Parent or Guardian Signature Date
Please return this form by January 10, 2014 to: EPISCOPAL SCHOOL OF DALLAS Office of Admission 4344 Colgate Avenue Dallas, TX 75225
Episcopal School of Dallas admits qualified students without regard to race, religion, or national origin. Episcopal School of Dallas . 4344 Colgate Avenue . Dallas, Texas 75225 . 214.353.5738 . www.esdallas.org 8
Application_Grades3and4.indd 8 9/10/13 10:01 AM records release form
TO THE PARENT After completing the portion below, please forward this form to an official at your child’s current school (Head of School, Principal, Director or Registrar). Your child’s school should forward an official copy of his/her transcript, including first semester grades from the current school year, to the ESD Office of Admission prior to the January 10, 2014 deadline.
APPLICANT’S INFORMATION
LAST NAME FIRST NAME MI
Birthdate / / Candidate for grade Current grade
I hereby authorize release of the materials requested below to the Office of Admission at the Episcopal School of Dallas.
Parent’s or Guardian’s Signature Date
TO THE HEAD OF SCHOOL, PRINCIPAL, DIRECTOR OR REGISTRAR The student whose name appears above is applying for admission to the Episcopal School of Dallas for the 2014-15 academic year. When available, please send the following information to ESD prior to the January 10, 2014 deadline. For our records, please indicate below which of the items are being sent. If your school does not issue grades or comments, please send a letter acknowledging receipt of this form, noting that you do not issue grades.
Thank you for your assistance.
PLEASE ATTACH: current year-to-date grades, 1st semester or trimester grades are preferred grade reports from the two previous grade levels all standardized test scores teacher evaluation forms citizenship/conduct reports school profile explanation of grading system
Signature and Title of School Official
Please return this form and requested materials to: EPISCOPAL SCHOOL OF DALLAS Lower School 4344 Colgate Avenue Dallas, TX 75225
Episcopal School of Dallas admits qualified students without regard to race, religion, or national origin. Episcopal School of Dallas . 4344 Colgate Avenue . Dallas, Texas 75225 . 214.353.5738 . www.esdallas.org 9
Application_Grades3and4.indd 9 9/10/13 10:01 AM 2014-20152013-2014 GRADES TWO THREE - FOUR AND FOUR common confidential teacher evaluation form
TO THE PARENT Please submit this form to your child’s current teacher, allowing time for completion and return by January 10, 2014.
APPLICANT’S INFORMATION
LAST NAME FIRST NAME MI
I waive my right of access and that of my child to this teacher evaluation form.
Parent’s or Guardian’s Signature Date
TOP 10% ABOVE BELOW ACADEMIC ATTRIBUTES CLASS AVERAGE AVERAGE AVERAGE NO BASIS Knowledge of Basic Skills Oral Communications Reading Skills Writing Skills Intellectual Curiosity Ability to Grasp New Concepts Response to Feedback/Redirection Academic Achievement Future Academic Potential Pattern of Completing Work on Time
TOP 10% ABOVE BELOW PERSONAL ATTRIBUTES CLASS AVERAGE AVERAGE AVERAGE NO BASIS Affect/Determination/Perseverance Attention Span Organization/Responsibility Ability to Work Independently Ability to Work in Groups Relationship with Peers Creativity Emotional Maturity Citizenship/Conduct Management of Conflict/Criticism
ATTENDANCE RECORD Number of absences (year-to-date) Number of tardies (year-to-date)
PLEASE SELECT FROM ONE OF THE FOLLOWING RECOMMENDATIONS: Highly recommend Recommend Recommend with reservations because Do not recommend because
Episcopal School of Dallas admits qualified students without regard to race, religion, or national origin. Episcopal School of Dallas . 4344 Colgate Avenue . Dallas, Texas 75225 . 214.353.5738 . www.esdallas.org 10
Application_Grades3and4.indd 10 9/10/13 10:01 AM PLEASE CHECK THE WORDS THAT BEST DESCRIBE THIS APPLICANT: Anxious Cooperative Kind Manipulative Positive Leader Articulate Shy Honest Perfectionist Follower Assertive Social Distractible Motivated Self-Centered Cheerful Disobedient Independent Negative Leader Self-Disciplined Confident Easily Discouraged Insightful Irritable Conscientious
Would you recommend this student for an honors course? No Yes
Please list applicant’s strengths:
Please list applicant’s weaknesses:
Has outside help, enrichment, tutoring or testing been recommended? No Yes
If yes, please elaborate:
Parental expectations, support, and attitude toward applicant and school:
Additional Comments (Please attach additional sheet, if needed):
Teacher Name School
Teacher Phone Number Teacher Email
Grade Taught Number of Years Teaching Student
Episcopal School of Dallas admits qualified students without regard to race, religion, or national origin. Episcopal School of Dallas . 4344 Colgate Avenue . Dallas, Texas 75225 . 214.353.5738 . www.esdallas.org 11
Application_Grades3and4.indd 11 9/10/13 10:01 AM 2014-20152013-2014 GRADES TWO THREE - FOUR AND FOUR admission events
In an effort to help prospective families get to know the Episcopal School of Dallas, the Office of Admission hosts several events each academic year. Please review the options below and join us at one of our programs. We look forward to introducing ESD to your family!
LOWER SCHOOL ADMISSION PREVIEW DAYS
WHEN Thursday, October 10, 2013 9:15 a.m. Tuesday, October 22, 2013 9:15 a.m. Thursday, November 14, 2013 6:30 p.m.
WHERE ESD Lower School 4344 Colgate Avenue Dallas, Texas 75225 Lower School Theater
WHAT An opportunity to learn more about the Lower School program, beginning with brief presentations by the Head of School, Head of Lower School, Lower School Chaplain, Assistant Director of Admission, and a few ESD students. Tours of our Lower School campus will follow the program.
HOW Please contact the Office of Admission, (214) 353-5738 or [email protected], to make a reservation to attend one of these previews. In order to make the program as beneficial as possible for everyone, we do limit the number of guests. Please call in advance to make a reservation.These programs are for adults only. You can also make a reservation online at www.esdallas.org/preview.
Episcopal School of Dallas admits qualified students without regard to race, religion, or national origin. Episcopal School of Dallas . 4344 Colgate Avenue . Dallas, Texas 75225 . 214.353.5738 . www.esdallas.org 12
Application_Grades3and4.indd 12 9/10/13 10:01 AM LOWER SCHOOL MIDDLE AND UPPER SCHOOL Beginner – 4th grade 5th – 12th grade 4344 Colgate Avenue 4100 Merrell Road. ESD Dallas, TX 75225 Dallas, TX 75229
OFFICE OF ADMISSION CONTACT INFORMATION Monday through Friday • 8:00 a.m - 4:00 p.m. LOWER SCHOOL INQUIRIES 214-353-5738 MIDDLE AND UPPER SCHOOL INQUIRIES 214-353-5827 FAX 214-353-5872 ESD OPERATOR 214-358-4368
Cindy Newsom, Director of Admission, Grades 9 - 12 ext. 5944 Shelle Montgomery, Assistant Director of Admission, Grades 5 - 8 and Director of Tuition Assistance ext. 5827 Ashley Beck, Assistant Director of Admission, Lower School ext. 5738 Corey Henderson, Admission Programs and Outreach Coordinator ext. 2503 Casey Dobson, Admission Coordinator ext. 8820
LBJ FREEWAY (635)
FOREST LANE MIDWAY ROAD INWOOD ROAD TOLLWAY PRESTON ROAD
ROYAL LANE
MERRELL ROAD
ESD UPPER/MIDDLE WALNUT HILL LANE SCHOOL
NORTHWEST HIGHWAY DOUGLAS
ESD LOWER SCHOOL
COLGATE
Episcopal School of Dallas admits qualified students without regard to race, religion, or national origin. Episcopal School of Dallas . 4344 Colgate Avenue . Dallas, Texas 75225 . 214.353.5738 . www.esdallas.org 13
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