Supplemental Application | Charlottesville Day School

Student Name*

First Last

Parent Contact Email*

What do you like best about Charlottesville Day School?

Why do you think CDS is the right school for your student?

Tell us about your student:

Additional Comments:

Recent Photo

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Are there any areas in which your student would need additional support in school?

In the last two years has your student seen a counselor, psychologist, or a psychiatrist? If so, describe the nature of the evaluation and/or counseling.

Is your student presently taking any other prescribed medications on a regular basis? If yes, please list and describe the purpose of the medication(s).

Has your student ever been tested or evaluated for any learning/speech and language difficulties which the school may need to accommodate? Please describe the results of the testing and any reasonable accommodations that may be necessary for your student’s participation in school. Please note if an IEP is in place.

Has your student ever been accelerated or held back in school? Please explain.