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  • About
    • The Mount Zion Experience
    • Mission and Core Values
    • Faculty and Staff
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    • Latest News
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    • Admissions Process
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PreK - 1st Grade Application

Click here for the 2nd - 12th Grade Application

"*" indicates required fields

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Student Information

Student Name*
To be used at school by peers & teachers
Address*
Date of Birth*
Male or Female?*
Is your child a U.S. citizen?*
Applying for:*

Family Information

Are there special child custody provisions?*
If yes, please provide documentation.
Accepted file types: pdf, doc, docx, Max. file size: 300 MB.

Father/Male Guardian

Name*
Home Address*
Marital Status*
Employer Address*

Mother/Female Guardian

Name*
Home Address*
Marital Status*
Employer Address*
Are there siblings in the home?*

Financial Information

Are you interested in applying for financial assistance (K and up)?*
Financial obligation for tuitions & fees goes to:*

If someone other than the parent/guardian listed above is responsible for the financial obligations while this student is enrolled at Mount Zion, please complete the following information:

Name
Address

Education & History

Please list all schools the applicant previously attended starting with the most recent if applicable:*
Name of School
City/State
Phone Number
Grade(s)
 
Potty-Training*
Check any and all that apply. Use space provided to elaborate, as needed.
Does the applicant have pottying needs or aids?*
ie: pull-ups, needs assistance, etc.
Has the applicant ever received public or private services for an identified learning disability?*
Are there any medical diagnoses that could impact his or her success in a classroom environment?*
Does the applicant have any history of health problems (physical or emotional)?*
Is the applicant on medication?*
Does the applicant have any type of learning disability, difficulty or limitations?*
Is the applicant currently involved in any special programs or receiving any special services from your school or from a private source?*
Accepted file types: pdf, doc, docx, Max. file size: 300 MB.

At Mount Zion Christian Schools, we love our students and their families. Please take a few minutes to give us some parental insight to help us get to know your child even better.

Does your child have trouble transitioning away from you?*
Behavior observations
Check all that apply. Use space provided to elaborate, if needed.
Social play observations*
Check all that apply. Use space provided to elaborate, if needed.
Health Concerns, allergies etc.
Bed time*
:
Wake time*
:
Naps*

Parent Information

Consent*
Consent*
Consent*
Date
Date

132 Titus Ave
Manchester, NH 03103

(603) 606-7930

[email protected]

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