Grades 1-5 Application Step 1 of 7 14% Child's InformationChild's Name* First Middle Last Name used at home Birthdate* MM slash DD slash YYYY Female Male Current Grade Level Applying for Grade 1 2 3 4 5 Current School* Current School Phone NumberHas a previous application to WCS been made? Yes No If yes, for what grade? Parent/Guardian InformationName* First Last Relationship to Applicant* Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Occupation Employer Work Phone Additional Parent/Guardian InformationPlease complete if child has more than one parent or guardian.Name First Last Relationship to Applicant Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code PhoneEmail Occupation Employer Work Phone Child lives with:* Parents are:* married separated divorced other Other persons living in the home with the applicantInclude siblings and extended family members. (Click plus icon to add additional lines.)NameAgeGenderRelationship How would you describe your child?Tell us about your child’s characteristics, traits, personality, and level of maturity so we have a clear picture of how you view him or her.What opportunities has your child had for interacting with other children outside of school?Describe his or her involvement in any organized lessons, programs, sports, etc.Waimea Country School expects parents to take an active role in their child’s education. How do you see your role in the educational process? What is it about your child that will make Waimea Country School a good environment for his or her growth and development?Are there any physical, emotional, or developmental issues that might affect your child’s performance at Waimea Country School?If yes, please explain.What other information would be helpful to us in evaluating your child’s candidacy for admission to Waimea Country School? How did you hear about Waimea Country School?Check all that apply. Word of mouth in the community Saw a banner up at the school/drove by the campus/in town Found the WCS website with an internet search Social Media (Facebook, Instagram, Twitter) Saw a print ad (newspaper, program brochure, flyer) Recommended by a current WCS parent Other Please share the current WCS parent who referred you so we can thank them. First Last If "Other", please share: I hereby apply for admission to Waimea Country School for my child. I affirm that all the information included in this application is accurate to the best of my knowledge. Date MM slash DD slash YYYY SignatureSubmission of this form indicates serious parental interest but does not guarantee a child’s placement in the school. Application files must be complete before enrollment is considered. In addition to this application and supporting documents, an in-person assessment is conducted to ensure that the child and the school are a good fit.