This document is an application form for Tauranga Montessori Education Trust. It requests contact information for the child's parents/guardians and details about the child's background in preschool and primary education. It also asks if the child has any medical conditions or special needs. Additional information is requested about siblings. The form must be signed and submitted with a $50 application fee to be considered for enrollment.

1. Supported by Tauranga Montessori Education Trust (TMET)
Application Form
Contact details
Your Name
Relationship Mother/Father/Grandparent/Caregiver/other/………………………………….
Postal Address
Actual Address
Town Home Phone
Email Mobile
Child’s application details
First Name: Last Name
Date of Birth: Age next birthday:
Gender Male/Female
Background Information
Preschool
Montessori Preschool Yes/No
Name and location of preschool
Name:
Preschool teacher contact
Phone:
How many years & months attended
Number of days currently attending
Primary
Montessori Primary Yes/No
Name of school
Phone
Years & months attended
Name:
School Teacher Contact
Phone:
Please attach copy of the latest report
from your child's school with this application.
Prepared by Tauranga Montessori Education Trust, May 2012 Page 1 of 2
Phone Kristy Cambourn Thursdays and Fridays 07 576 5916 or for urgent enquiries on 0275 574 789

2. Additional Information
The answers to the questions below will assist us in gaining an understanding of your child’s needs, ensuring that
any classroom or environmental preparations are facilitated as required to support your child during transition and
through the course of their time at Montessori@Bellevue.
Bellevue School has an open and inclusive enrolment policy; the placement of children within Bellevue School
and Montessori@Bellevue is the responsibility of the Principal, in consultation with the parents.
Does your child have any medical conditions, special needs,
Yes/No
learning difficulties or behavioural problems?
If yes, please give details
Has your child been assessed by Group Special Education, a child
Yes/No
Psychologist or other professional which could bear relevance to this application?
Interview/Meeting
Parents are welcome to request a meeting with the principal and lead teacher at any stage during the enrolment
process.
Siblings
Please provide details of any siblings which may apply to Montessori@Bellevue at a later date, so that their
names can be recorded for planning purposes. Please note however that you will still need to make a full
application for each child
Name: Date of Birth …../…../….. Male / Female
Name: Date of Birth …../…../….. Male / Female
Commitment:
I have read and understood the Montessori@Bellevue Prospectus including the Application Criteria.
I agree to pay the fees and donations referred to in this document, including any increases deemed
necessary by TMET during my child’s attendance.
I have deposited the $ 50.00 application fee (TMET account number TSB 15-3973-0009806-00)
I consent to TMET contacting my child’s pre-school/school teacher in relation to this application
I have attended a Parent Information Evening and Classroom Observation at M@B (not necessary for
second or subsequent children from the same family).
Signed: Date:
Email completed form to enrol@matb.school.nz (preferred), post to PO Box 6135, Brookfield, Tauranga
or drop into the Montessori junior classroom mailbox.
Enquiries to Kristy Cambourn - TMET Administrator - Thursdays and Fridays on 576 5916 or
027 5574 789.
Prepared by Tauranga Montessori Education Trust, May 2012 Page 2 of 2
Phone Kristy Cambourn Thursdays and Fridays 07 576 5916 or for urgent enquiries on 0275 574 789