Application for Enrollment - Fitzgerald Community School

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hello@fitzgeraldcommunityschool.com

Northborough, Massachusetts

About FCS
Programs
Enrollment
FCS Families
Connect
APPLY TODAY

APPLY TODAY TO THE FITZGERALD COMMUNITY SCHOOL

PRESCHOOL

AGE 3 By September 1

8:30am—2:30pm
Available Monday—Friday
Extended Day Available

PRIMARY ACADEMY

GRADE K—6

8:30am—2:30pm
Available Monday—Friday
Extended Day Available

Application and Enrollment Procedures

Parents attend a tour of The Fitzgerald Community School.
Parents submit the Application for Admission and $100.00 non-refundable Application Fee.
The school places applicants on the Admissions List on the date in which the application and fee are received.
Admission of students involves a rich exchange of information between the parents and team at The Fitzgerald Community School, and includes student evaluations, records, reports, and the child’s visit to the school.
Enrollment is based on a determination by the Admissions Committee that The Fitzgerald Community School can meet the needs of the child and is subject to availability.
The Fitzgerald Community School extends Enrollment Agreements to new students beginning mid-January for fall admission.
Receipt of the completed Enrollment Agreement and $500.00 non-refundable Enrollment Fee secures placement for the child.

Step 1 of 9

11%

STUDENT INFORMATION
Applying For Grade*
- Preschool
- TK
- K
- 1
- 2
- 3
- 4
- 5
- 6
Please identify your desired length of day*
- Half
- Full
Desired Days for Attendance*
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
Desired Days for Attendance*
- Two Days – Tuesday & Thursday
- Three Days – Monday, Wednesday & Friday
- Four Days – Monday through Thursday
- Five Days – Monday through Friday
School Year Beginning: September

Please put in the year you want to enroll your child
Student's Name*
First Last
Name by Which Addresssed*
First Last
Home Address*
Street Address Address Line 2 City State / Province / Region ZIP / Post Code Country
Date of Birth*
MM slash DD slash YYYY
Place of Birth*
Gender
- Male
- Female
- Other
Ethinic/Cultural Background*
Primary Language*

PRIMARY GUARDIAN INFORMATION
Primary Guardians Name*
First Last
Legal Relationship to Applicant*
Home Phone*
Home Email*
Occupation*
Employer*
Work Phone*
Work Email*
Marital Status*

ADDITIONAL GUARDIAN INFORMATION
Guardians Name*
First Last
Legal Relationship to Applicant*
Home Phone*
Home Email*
Occupation*
Employer*
Work Phone*
Work Email*
Marital Status*

COMMUNICATIONS
With Whom Does the Applicant Reside?*
Send School Correspondence to Whom?*

FAMILY INFORMATION
Please list the name and ages of siblings in the family
Does Applicant Have Any Siblings?*
- Yes
- No
Name
First Last
Birth Date
MM slash DD slash YYYY
School/Grade Level
Add Another Sibling*
- Yes
- No
Name
First Last
Birth Date
MM slash DD slash YYYY
School/Grade Level
Have Any Family Members Attended FCS in the past?*
How Did You Hear About FCS?*
Your Reason for Applying to FCS*

SCHOOL RELATED INFORMATION
Current School*
Current Grade
School Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Name of Principal or Head of School
First Last
School Phone
Grades Repeated, If Any
Has the applicant ever participated in special services?*
- No
- Speech/Language
- Motor Skills
- Other
Is the applicant currently receiving medication?*
- Yes
- No
What medications?
Has the applicant ever been suspended, expelled or dismissed from school for any behavioral reasons?*
- Yes
- No
Please explain
Are there any physical limitations that might interfere with the applicant's ability to do school work or participate in physical activity?*
- Yes
- No
Please explain
Please explain or share information that may help us better understand your child and their needs.*
Please describe school activities, awards, and/or recognitions.*
Please include any other information about the applicant that may be helpful to the Admissions Committee.*

MEDICAL INFORMATION
Length of Pregnancy
Birth Weight
Delivery
Anything noteworthy about the pregnancy?
Does your child have allergies?*
- Yes
- No
List allergies
Does your child have an epi-pen?
- Yes
- No

DEVELOPMENTAL INFORMATION
At what age did your child start sitting?*
At what age did your child start crawling?*
At what age did your child say their first word?*
At what age did your child start walking?*
At what age did your child start toileting?*
At what age did your child say their first sentence?*
Does your child's coordination and balance seem average for their age?*
- Yes
- No
- Just Balance
- Just Coordination
Please describe your child's activity level*
Any other languages spoken at home?*

ELECTRONIC SIGNATURE
Application Fee*
- I understand there is a $100 non-refundable application fee and my application will not be considered until it is received. Upon submission, I will receive a link to pay via Paypal.
Consent*
- I have read and understand the application and enrollment procedures at Fitzgerald Community School.
Recognition of Electronic Signature*
- I understand that my electronic signature is binding in the State of Massachusetts in place of a hand signature.
E-Signature Full Name*
First Last
Phone
This field is for validation purposes and should be left unchanged.

Step 1 of 9

11%

STUDENT INFORMATION
Applying For Grade*
- Preschool
- TK
- K
- 1
- 2
- 3
- 4
- 5
- 6
Please identify your desired length of day*
- Half
- Full
Desired Days for Attendance*
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
Desired Days for Attendance*
- Two Days - Tuesday & Thursday
- Three Days - Monday, Wednesday & Friday
- Four Days - Monday through Thursday
- Five Days - Monday through Friday
School Year Beginning: September

Please put in the year you want to enroll your child
Student's Name*
First Last
Name by Which Addresssed*
First Last
Home Address*
Street Address Address Line 2 City State / Province / Region ZIP / Post Code Country
Date of Birth*
MM slash DD slash YYYY
Place of Birth*
Gender
- Male
- Female
- Other
Ethinic/Cultural Background*
Primary Language*

PRIMARY GUARDIAN INFORMATION
Primary Guardians Name*
First Last
Legal Relationship to Applicant*
Home Phone*
Home Email*
Occupation*
Employer*
Work Phone*
Work Email*
Marital Status*

ADDITIONAL GUARDIAN INFORMATION
Guardians Name*
First Last
Legal Relationship to Applicant*
Home Phone*
Home Email*
Occupation*
Employer*
Work Phone*
Work Email*
Marital Status*

COMMUNICATIONS
With Whom Does the Applicant Reside?*
Send School Correspondence to Whom?*

FAMILY INFORMATION
Please list the name and ages of siblings in the family
Does Applicant Have Any Siblings?*
- Yes
- No
Name
First Last
Birth Date
MM slash DD slash YYYY
School/Grade Level
Add Another Sibling*
- Yes
- No
Name
First Last
Birth Date
MM slash DD slash YYYY
School/Grade Level
Have Any Family Members Attended FCS in the past?*
How Did You Hear About FCS?*
Your Reason for Applying to FCS*

SCHOOL RELATED INFORMATION
Current School*
Current Grade
School Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Name of Principal or Head of School
First Last
School Phone
Grades Repeated, If Any
Has the applicant ever participated in special services?*
- No
- Speech/Language
- Motor Skills
- Other
Is the applicant currently receiving medication?*
- Yes
- No
What medications?
Has the applicant ever been suspended, expelled or dismissed from school for any behavioral reasons?*
- Yes
- No
Please explain
Are there any physical limitations that might interfere with the applicant's ability to do school work or participate in physical activity?*
- Yes
- No
Please explain
Please explain or share information that may help us better understand your child and their needs.*
Please describe school activities, awards, and/or recognitions.*
Please include any other information about the applicant that may be helpful to the Admissions Committee.*

MEDICAL INFORMATION
Length of Pregnancy
Birth Weight
Delivery
Anything noteworthy about the pregnancy?
Does your child have allergies?*
- Yes
- No
List allergies
Does your child have an epi-pen?
- Yes
- No

DEVELOPMENTAL INFORMATION
At what age did your child start sitting?*
At what age did your child start crawling?*
At what age did your child say their first word?*
At what age did your child start walking?*
At what age did your child start toileting?*
At what age did your child say their first sentence?*
Does your child's coordination and balance seem average for their age?*
- Yes
- No
- Just Balance
- Just Coordination
Please describe your child's activity level*
Any other languages spoken at home?*

ELECTRONIC SIGNATURE
Application Fee*
- I understand there is a $100 non-refundable application fee and my application will not be considered until it is received. Upon submission, I will receive a link to pay via Paypal.
Consent*
- I have read and understand the application and enrollment procedures at Fitzgerald Community School.
Recognition of Electronic Signature*
- I understand that my electronic signature is binding in the State of Massachusetts in place of a hand signature.
E-Signature Full Name*
First Last
Email
This field is for validation purposes and should be left unchanged.

The Fitzgerald Community School admits students of any race, sex, religion, sexual orientation, handicap status, national origin or ethnicity to all the rights, privileges, programs and activities generally accorded or made available to students at The Fitzgerald Community School. It does not discriminate on the basis of race, sex, religion, sexual orientation, handicap status, national origin or ethnicity in the administration or its education and admission policies, financial programs or school administered programs.

261 MAIN ST., NORTHBOROUGH, MA
PHONE (508) 466-8486
FAX: (508) 466-8333

© 2024 Fitzgerald Community School. All Rights Reserved.

The Fitzgerald Community School does not discriminate in admission, scholarships, or administration of their educational policies and employment practices on the basis of race, color, national or ethnic origin, or any other protected category under Federal Laws.