St. Ursula Villa | Cincinnati, Ohio | An independent Catholic coeducational pre-k

Applicant Information

The St. Ursula Villa administration, faculty, and staff are dedicated to the development and education of the whole child and the success of each student in our school community. The below information will assist the school staff in determining your child's appropriate academic placement and any services he/she may need if accepted at St. Ursula Villa.

Instructions

This application form allows you to submit multiple children as applicants. If this applies to you, note that after the "Applicant 1" section, there is a button to "Add Another Applicant." Clicking it will reveal an "Applicant 2" section and so on. If you accidentally add an Applicant section, you can remove it by clicking the icon in the far right of the blue bar.

If your child has multiple siblings you need to include on this application, there is a similar tool to "Add Another Sibling" and, likewise, a icon that removes sibling information if you create more Sibling sections that you require.

Delete Applicant

Applicant 1

Program of Choice:

Toddler Program

2-Year-Old 2-Day Mornings 8:00 – 10:45 a.m. (Mon & Tues) 2-Year-Old 2-Day Mornings 8:00 – 10:45 a.m. (Thurs & Fri)

Montessori Program (Preschool - K)

3-Year-Old 5-Day Full Day (M-F, 3:00) 3-Year-Old 5-Day Half Day (M-F, 12:00) 3-Year-Old 4-Day Full Day (M-TH, 3:00) 3-Year-Old 4-Day Half Day (M-TH, 12:00) 3-Year-Old 3-Day Full Day (M,T,W, 3:00) + 2-Day Half Day (TH,F, 12:00) 3-Year-Old 3-Day Full Day (M-W, 3:00) 3-Year-Old 3-Day Half Day (M-W, 12:00) 4-Year-Old 5-Day Full Day (M-F, 3:00) 4-Year-Old 5-Day Half Day (M-F, 12:00) 4-Year-Old 3-Day Full Day (M,T,W, 3:00) + 2-Day Half Day (TH,F, 12:00) 4-Year-Old 4-Day Full Day (M-TH, 3:00) 4-Year-Old 3-Day Full Day (M-W, 3:00) Montessori Kindergarten

Traditional Program (Preschool)

Grade (K - 8)

Kindergarten Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6 Grade 7 Grade 8

Applicant lives with (check all that apply):

Father Mother Other

Person(s) financially responsible for applicant:

Current School Information

Is returning to the current school an option?

Yes No

May we contact this school to request additional information?

Yes No

What other schools/preschools has the student previously attended?

Sibling Information

Sibling 1 Delete Sibling

Is this sibling currently enrolled at St. Ursula Villa?

Yes No

Sibling 1

Is this sibling currently enrolled at St. Ursula Villa?

Yes No

Add Another Sibling

Supplemental Student Information

Did your child receive Early Intervention Services or has it ever been recommended that your child receive an educational or developmental evaluation?

Yes No

Has the applicant ever received educational/developmental testing?

Yes (If yes, continue with A, B, and C. Please note: a copy of this testing/evaluation must be reviewed before acceptance.)

A. Who made the testing referral?

B. When was the testing done and by whom?

C. Does the applicant have a current Individualized Education Plan (ISP for nonpublic schools), a 504 Plan (an accommodation form for nonpublic schools)?

Yes (If yes, a copy of these documents must be reviewed before acceptance.) No

Has the applicant previously had an IEP, ISP, 504 Plan or an accommodation plan?

Yes

What extra services (remedial reading, learning disabilities tutoring, Orton-Gillingham tutoring, speech and language support, occupational therapy, organizational support, ELL services) does your child currently receive?

What extra services, such as those listed above, would you hope for your child to receive at St. Ursula Villa?

Is a language other than English spoken in your home?

Yes No

Please list any medical or physical conditions that may impact this child's learning – including allergies, ADD, ADHD, headaches, etc.

Has your child ever had ear tubes?

Yes

When?

Please list other information about the applicant that will assist the school to meet his/her needs.

What do you see as your child's strengths?

What does your child find challenging or difficult?

What do you and your child expect from your experience at St. Ursula Villa?

Applicant 1

Program of Choice:

Toddler Program

2-Year-Old 2-Day Mornings 8:00 – 10:45 a.m. (Mon & Tues) 2-Year-Old 2-Day Mornings 8:00 – 10:45 a.m. (Thurs & Fri)

Montessori Program (Preschool - K)

Traditional Program (Preschool)

Grade (K - 8)

Kindergarten Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6 Grade 7 Grade 8

Applicant lives with (check all that apply):

Father Mother Other

Person(s) financially responsible for applicant:

Current School Information

Is returning to the current school an option?

Yes No

May we contact this school to request additional information?

Yes No

What other schools/preschools has the student previously attended?

Sibling Information

Sibling 1 Delete Sibling

Is this sibling currently enrolled at St. Ursula Villa?

Yes No

Sibling 1

Is this sibling currently enrolled at St. Ursula Villa?

Yes No

Add Another Sibling

Supplemental Student Information

Did your child receive Early Intervention Services or has it ever been recommended that your child receive an educational or developmental evaluation?

Yes No

Has the applicant ever received educational/developmental testing?

Yes (If yes, continue with A, B, and C. Please note: a copy of this testing/evaluation must be reviewed before acceptance.)

A. Who made the testing referral?

B. When was the testing done and by whom?

C. Does the applicant have a current Individualized Education Plan (ISP for nonpublic schools), a 504 Plan (an accommodation form for nonpublic schools)?

Yes (If yes, a copy of these documents must be reviewed before acceptance.) No

Has the applicant previously had an IEP, ISP, 504 Plan or an accommodation plan?

Yes

What extra services (remedial reading, learning disabilities tutoring, Orton-Gillingham tutoring, speech and language support, occupational therapy, organizational support, ELL services) does your child currently receive?

What extra services, such as those listed above, would you hope for your child to receive at St. Ursula Villa?

Is a language other than English spoken in your home?

Yes No

Please list any medical or physical conditions that may impact this child's learning – including allergies, ADD, ADHD, headaches, etc.

Has your child ever had ear tubes?

Yes

When?

Please list other information about the applicant that will assist the school to meet his/her needs.

What do you see as your child's strengths?

What does your child find challenging or difficult?

What do you and your child expect from your experience at St. Ursula Villa?

Thank you for providing complete and accurate information about your child. The St. Ursula Villa administration and staff recognize that each student at St. Ursula Villa has unique strengths and needs.

Failure to provide the school with requested information could result in inappropriate placement and may negate acceptance at St. Ursula Villa.

Add Another Applicant

Parent/Guardian Information

Parent/Guardian 1

SUV Alumnus?

Yes

Parent/Guardian 2

SUV Alumnus?

Yes

How did you learn about St. Ursula Villa?

What other schools did you consider and why?

St. Ursula Villa of Cincinnati, Inc. does not discriminate on the basis of race, color, national/ethnic origin, or ancestry.

Student Applications

Applicants	Fee
Applicant 1	$75.00	Delete Applicant
Total:	$75.00

Payment Information

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