Site Map
A Nationally Recognized K-12 School for the Gifted
Cincinnati, Ohio Member of OAIS
Student Information
First name:
Middle name:
Last name:
Name preferred by student:
Date of birth:
January
February
March
April
May
June
July
August
September
October
November
December
Gender
female or
male
Currently in grade
Preschool
Kindergarten
Not in school yet
IQ
Public School District of Current Residence
Home Contact Information
Street address
City
State
Zip code
Home phone number
Mother's Information
Full Name:
E-mail Address:
Business Telephone Number
Occupation
Employer
Work Address
Does the child live with the mother?
yes
no
Mother's home street address
City
State
Zip code
Home phone number
Father's Information
Full Name:
E-mail Address:
Business Telephone Number
Occupation
Employer
Work Address
Does the child live with the father?
yes
no
Father's home street address
City
State
Zip code
Home phone number
Grandparents
Maternal Grandparents:
Street address
City
State
Zip code
Paternal Grandparents:
Street address
City
State
Zip code
Siblings
Name
Age
Current School
Does your child have any special needs of which we should be aware?
Why do you want your child to attend Schilling?
How did you hear about our school?
internet
family with a current student
family with a former student
newspaper
phone book
other
From whom?
Electronic Signature
Name of the parent or guardian signing this application
Your relationship to the student
father
mother
grandfather
grandmother
other
Please specify:
8100 Cornell Road, Cincinnati, OH 45249 | Phone: (513) 489-8940 | Fax: (513) 489-8941 |
lmink@schillingschool.org
