2021-2022 Application

Thank you for your interest in attending Willow Roots - Learning Center! It all begins here. Please complete one application for each student applicant.

2021-2022 Application

Name

Student's Legal Name

First Name

Last Name

Student's Preferred Name

Telephone Numbers

Primary Phone Number

(###)

###

####

Secondary Phone Number

(###)

###

####

Email Address

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Biographical Information

Birthday

YYYY

Race/Ethnicity

School Information

Information regarding your child's previous/current school.

School Name

School Phone Number

(###)

###

####

Family Information

Parent/Guardian's Name

First Name

Last Name

Relationship to student applicant

Parent/Guardian's Name

First Name

Last Name

Relationship to student applicant

Who does the student applicant live with?

Does the student applicant have a second household?

Does the applicant have siblings?

Short Answer Questions

How did you hear about Willow Roots - Learning Center?

What type of learning environment best supports your child’s learning?

Why would you like the student applicant to attend Willow Roots - Learning Center?

Your insights as your child’s first educator are very valuable. In your experience, what helps your child learn best? Please rank the options with numbers 1 (least valuable) to 6 (most valuable), or write "not applicable" if your child does not have associated experience.

Active hands-on doing

Visual information like pictures

Listening to information

Writing or drawing

Board games or puzzles

Educational computer/iPad games

Please describe your child's favorite play-based activities. What are your child's favorite books? How does your child like to relax?

Please tell us about the student applicant and his/her personality. What are the student applicant’s academic and social strengths and weaknesses?; What are the student applicant’s interests and passions?; Does the student applicant have any special talents? If so, what?; Please feel free to include any information that you believe will be helpful to the admissions team.

Additional Information

Legal mumbo-jumbo aside – we’re asking you to type your full legal name below (in place of your signature), to let us know that you kept it honest! We want to get to know your child to be able to find the place that best suits them and your family.

2021-2022 Application

WILLOW ROOTS - LEARNING CENTER