APPLICATION PROCEDURE

Submit application and non-refundable fee of $75.00 to
Evergreen School. Checks should be made out to Evergreen School
and mailed to 10700 Georgia Avenue, Wheaton, MD, 20902.
MasterCard or Visa payments should be made over the telephone to
Scott Fedder or Lourdes Buenaflor at 301-942-5979. Online payment
is not available at this time.

Toddler and Primary Program:
Children younger than 4-1/4 and their parents must be interviewed by the Head of School. Students older than 4-1/4 will visit the school for a morning; their parents are required to be interviewed by the Head of School.

Elementary Program:
Prospecive Elementary students will visit the school for up to 3 days. Their parents are required to be interviewed by the Head of School.

Interviews and visits will be scheduled upon receipt of the application form and $75 application fee.

Evergreen School has a policy of non-discrimination regarding race, religion, and ethnic origin for admission of students
and the employment of faculty and staff. We strive to be a diverse community.  We are proud to be a diverse community.  Twenty-three percent of our children are African-American, eleven percent are Asian, and eight percent are Latino/Hispanic.


*Required fields

Program* Toddler     Primary     Elementary

Child's First Name*

Middle Name

Last Name*

Sex* Male     Female

Independent toileting established?*
Yes No

Nickname

Birthdate*

Age*

Place of Birth

How did you hear about Evergreen?*

Date of Start*

Reasons for applying to Evergreen*

Previous School*

Number of years in previous school*

Type of Program*

Parent/Guardian 1

Full Name*

Street Address*

City*

State*

Zip Code*

Home Phone*

Cell Phone*

Email*

Occupation, Title*

Employer

Business Phone*

Parent/Guardian 2

Full Name*

Street Address

City

State

Zip Code

Home Phone

Cell Phone

Email

Occupation, Title

Employer

Business Phone

Person Responsible for Bills*

Parents live together*
Yes No

Parents live separately*
Yes No

Parents are divorced*
Yes No

Other parent or guardian, if applicable.

Home Address

Home Phone

Occupation, Title

Employer

Business Phone

Health

Allergies*

Restrictions*

Physical Limitations or Special Needs*

Siblings*

Names and Ages

Signature

*Previous school and diagnostic records must be provided to Evergreen School
as a condition of enrollment for all students entering from another institution.