Please attach
a photograph of
your child here
FOR NEW STUDENTS
PRESCHOOL - 12TH GRADE
12 East 96th Street NY, NY 10128
Tel. 212-369-3290, Fax .212-369-1164
e-mail: pmigani@lascuoladitalia.org
www.lascuoladitalia.org
NY 10128
ACADEMIC YEAR: 2016- 2017
APPLICANT INFORMATION
Student’s First and Last Name:________________________________________________ Gender: Male:____Female:____
Birth date (mm/dd/yy): _______/_______/_______ Birthplace:______________________Citizenship: __________________
*Visa No.: __________________________Place & Date of Issue: ________________________________________________
Applying for Grade:___________________ Expected length of stay in the USA: ___________________________________
Current School:_________________________________________Year entered school:_________Current Grade:________
School address: ____________________________________City:_____________________State:_________Zip: _________
Head of School:___________________________________________School telephone:______________________________
Other school(s) attended (if any):_______________________________City:__________________________State:_______
This student has a sibling(s) that attends “La Scuola d’Italia”:
Name:___________________________Date of birth:_____/_____/_____Gender:_____Grade:______Year of entry:_______
Name:___________________________Date of birth:_____/_____/_____Gender:_____Grade:______Year of entry:_______
Name:___________________________Date of birth:_____/_____/_____Gender:_____Grade:______Year of entry:_______
This student has a parent/guardian that is a full-time employee of “La Scuola d’Italia”: Yes:___________No:__________
Applicant’s Interests: Art
Sports
Technology
Reading
Others ______________________________________
Has any member of your family attended La Scuola? ________________________________________________________
How did you find out about La Scuola? Friends/Family
Educational Consultant
NY Family
Web
Parents League
NY Times
School Fairs
Other ____________________________________________________________
Language/s spoken at home: ____________________________________________________________________________
Age requirements: Students admitted to the Pre-K class must be 3 years of age by December 31st of the school year in which
registered. The child must also be toilet trained. Children born in January of the school year and toilet trained may also be
admitted, but may begin attending after the start of school. Students admitted to K must be 5 years of age by December 31st of
the school year; students admitted to first grade must be 6 years of age by December 31st of the school year. Children turning 6
by March 31st may be admitted to first grade only if they have previously completed 3 years of school ( 2 years of Preschool and
1 year of Kindergarten).
La Scuola d’Italia Guglielmo Marconi is open to all students who qualify for admission, without regard to race, religion, sex,
or national origin.
Two reference letters introducing the family to the school are kindly required.
*Not Applicable to US Citizens and US Residents
FAMILY INFORMATION
Parents are:
Married
Separated
Single
Divorced
Other: _____________________________________
Parent One - Title and Name: ______________________________________ Relationship to applicant: _______________
Birthplace: ___________________________________Street address: ___________________________________________
City: _________________________State:_________________Zip:_________Country_______________________________
Home Phone: _________________ Cell Phone: __________________ Email address: ______________________________
Education: ____________________________________________________________________________________________
Occupation: __________________________________________________________________________________________
Business Name: ____________________________________________ Business tel. #: (________) _________-_________
Address: ____________________________________City: __________________State: _______Zip:______Country:______
Parent Two - Title and Name: ______________________________________ Relationship to applicant: ________________
Birthplace: ___________________________________Street address: ___________________________________________
City: _________________________State:_________________Zip:_________Country_______________________________
Home Phone: _________________ Cell Phone: __________________ Email address: ______________________________
Education: ____________________________________________________________________________________________
Occupation: __________________________________________________________________________________________
Business Name: ____________________________________________ Business tel. #: (________) _________-_________
Address: ____________________________________City: __________________State: _______Zip:______Country:______
Applicant lives with: Parent One
Parent Two
Both
Other: ___________________________________________
PLEASE SPECIFY AND GIVE NAME
Other - Parent/Guardian address: ___________________________________________ Telephone # __________________
Address & Zip Code: ___________________________________________________________________________________
Send all communications to: Parent One
Parent Two
Send bills to: Parent One
Both
Parent Two
Both
Other: ____________________________________
Other: _________________________________________________
Person (other than parent/legal guardian) authorized to be contacted in case of emergency and for information:
NAME: _________________________________________RELATIONSHIP:____________________ TEL. #: _________________
NAME: _______________________________________ RELATIONSHIP: ______________________ TEL. #:_________________
Address: __________________________________ Apt #:_____City: ______________State:_______ Zip Code: _________
Home Tel. Number: (___) _____-_____Fax Number: (___) ____-_____ E-Mail:_____________________________________
Please read the following page and sign and date at the bottom
TUITION AND FEES
A) TUITION 2016-2017 FOR EACH DIVISION
Pre-K & K
Elementary-- Grades 1-5
Middle School – Grades 6-8
High School – Grades 9-12
$30,000.00
B) FEES 2016-2017
Application Fee:
$100.00 Non-refundable -- To be submitted with the initial application
Registration Fee: $1,600.00 (Includes Textbooks, Materials & Educational Field Trips within NYC)
Lunch Fee:
$1,400.00
C) PAYMENT SCHEDULE
20% of the tuition ($6,000.00) due at time of registration (see D below)
40% of the tuition ($12,000.00) due by July 1st , 2016
20% of the tuition ($6,000.00) due by Sept. 1st , 2016
20% of the tuition ($6,000.00) due by Dec. 1st, 2016
D) First Payment to be submitted with the contract (non-refundable)
Fees: $3,000.00
Tuition Deposit: 20% of tuition
$9,000.00
E) Payment methods
Checks: Please make checks payable to “La Scuola d’Italia”
Credit Cards: https://lascuoladitalia.ejoinme.org/tuitionpayments2016-17 . A 2.5% administrative fee will
be applied on the base tuition only.
Electronic Money Transfer Account: Citibank (Madison Ave); Branch 27; account # 04454528; ABA #
021000089; swift code CITIUS33
Tuition & Fees are subject to yearly changes as determined by the school Board of Trustees.
DISCOUNTS
1. Siblings’ discount - Full tuition is paid for the first child. A 10% siblings’ discount is applied to the base tuition of each
additional child, to be subtracted from the last installment due December 1st.
2. Employee Discount – Children of full-time faculty and staff members are granted a 50% tuition remission. This discount
cannot be combined with any other discount.
All tuition discounts are only available to full-time students.
Enrollment Contract: It is the policy of La Scuola d’Italia “G. Marconi” to require the family to sign and submit an
enrollment contract.
For additional information, please visit us at www.lascuoladitalia.org
Date: _________________________ Signature of Parent/ Legal Guardian: ______________________________________
FOR OFFICE USE ONLY
Accepted By:______________________________________ Date (mm/dd/yy): ________________________________
Date Of Enrollment: ________________________________ Date Of Withdrawal (mm/dd/yy): ____________________