Application Form 2022-2023

Please complete the form below. Required fields marked with an asterisk *

Applicant's Information

First Name*

Answer Required

Middle Name

Answer Required

Last Name*

Answer Required

Applying to Grade:*

Answer Required

Address*

Street address, city, state, zip

Answer Required

Age*

Answer Required

Birthdate*

Answer Required

Gender*

Answer Required

Female

Male

Race/Ethnicity

Answer Required

Has your child applied to Community Prep before?*

Answer Required

Yes

If yes, in what year?

Answer Required

School

Present School*

Answer Required

Present Grade*

Answer Required

Grades Attended*

Answer Required

Address*

Answer Required

Phone Number*

Number Required

Fax Number

Number Required

Previous School Attended

Answer Required

Grades Attended

Answer Required

Family

Parent/Guardian (A)

Please select one:*

Answer Required

Birth Parent

Adoptive Parent

Legal Guardian

Foster Parent

Step Parent

First Name*

Answer Required

Last Name*

Answer Required

Address*

Street address, City, State, Zip

Answer Required

Email Address*

Answer Required

Primary Phone Number*

Number Required

Employer

Answer Required

Business Address

Answer Required

Work Phone Number

Number Required

Parent/Guardian (B)

Please select one:*

Answer Required

Birth Parent

Adoptive Parent

Legal Guardian

Foster Parent

Step Parent

First Name*

Answer Required

Last Name*

Answer Required

Address*

Street address, City, State, Zip

Answer Required

Email Address*

Answer Required

Primary Phone Number*

Number Required

Employer

Answer Required

Business Address

Answer Required

Work Phone Number

Number Required

Applicant's Brother(s)/Sister(s)

Include age, grade, and school they're attending.

Answer Required

Relatives of applicant who currently attend or have attended Community Prep:

Include name, relationship, and year(s) of attendance.

Answer Required

Additional Information

How did you hear about Community Prep?*

This does not affect your admission decision. We simply like to know how people hear about our school.

Answer Required

If you selected other, please specify how you heard about Community Prep:

Answer Required

Why do you feel Community Prep might be the right school for your child? What would you like your child to gain from Community Prep?*

Answer Required

Is there anything else you would like to share which would help us get to know your child and/or family better?

Answer Required

Are there any health issues that require special attention?*

If yes, please explain.

Answer Required

Are you applying to other schools?*

If yes, please list them here.

Answer Required

Will you be applying for financial aid?*

Answer Required

Yes

Student Profile

What are your child's academic interests and strengths?*

Answer Required

How would you like your child to improve academically?*

Answer Required

Has your child had any academic difficulties in school? *

If yes, please explain.

Answer Required

Does your child require educational accommodations and/or modifications? (I.e. 504 plan or IEP)*

Answer Required

Yes

If your child requires educational accommodations and/or modifications, please specify.

Answer Required

If you feel that your child is not performing to their potential in school, please explain why you feel this is the case.

Answer Required

How would you describe your child's personality?*

Answer Required

How would you describe your child's behavior? Are there personal characteristics or social behaviors you would like your child to develop?*

If yes, please explain.

Answer Required

How does your child spend their time outside of school and at home?*

Answer Required

How well does your child interact with other children in school?*

Please select all that apply.

Answer Required

Very well

Well

Fair

Poorly

Needs improvement

How well does your child interact with other children outside of school?*

Please select all that apply.

Answer Required

Very well

Well

Fair

Poorly

Needs improvement

Note: This application will not be processed until the $30.00 application fee is submitted.

If your child is eligible for free/reduced lunch, the application fee is $10.00

Checks are payable to Community Preparatory School.

Please call the school at (401) 521-9696 with any questions.

Please fix the highlighted areas below before submitting.

Application Form 2022-2023

Applicant's Information

School