ADMISSIONS FORM

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Gateway-Mumbai does not use academic programs, or possess expertise in its team, to serve students with Autism Spectrum Disorder/Asperger’s Syndrome, intellectual disabilities, severe/profound hearing and visual impairments, or multiple disabilities.

Student’s full name Full Name is required

Date of birth: Date of Birth is required.

Primary language Full Name is required

Mother's name (Mrs./Ms./Dr.): Mother's name is required.

Fathers name (Mr./Dr.): Fathers name is required

Student’s address:

Parent’s e-mail address: Parent's email is required

Parent’s telephone number: Telephone no required.

Mother’s occupation: Mothers occupation is required.

Title/Position: Mother's title is required

Father’s occupation: Father's occupation is required.

Title/Position: Father's Title is required

Who referred you to The Gateway School of Mumbai?

Applicant's schooling

Current school: Current school is required.

Attending since:

Current grade:

Previous School:

Dates attended:

Grade completed:

Previous School:

Dates attended:

Grade completed:

General Information

1. At what age did your child

Crawl:

Walk:

Babble:

Say his/her first word:

Speak in 2-3 words:

Become toilet trained:

2. How old was your child when you first suspected something unusual, and what appeared to be unusual?

3. What are some of your child’s greatest strengths (i.e. what can the child do well with minimal to no support)?

4. What does your child struggle with? What is challenging for your child?

5. What has your child been diagnosed with? Please attach relevant reports. a. How accurate do you believe the reports to be? If you believe the reports are inaccurate, please do share why.

Information about your child's current school

1. Does your child currently receive any special support services (i.e. one-on-one support, remedial, shadow teacher, therapies, etc.) within the school? If so, what support does your child receive at school?

2. Does your child currently receive any tutoring or therapies outside of school? If so, please specify which ones and share why.

3. Has your child repeated a grade? If so, which grade and why was he/she asked to repeat that grade?

4. Has your child’s current school suggested that you exit and find another school? If yes, why? If not, then why are you thinking of leaving the school?

5. Why do you think Gateway, specifically, will be an appropriate school for your child?

Information about your child’s physical, emotional and social development:

1. Describe any physical or health problems your child has had.

2. Is your child taking any medication? If so, please list and state why the child is taking each medicine.

3.Have you visited a psychiatrist for support with your child? If so, what were the psychiatrist’s impressions. Please share a copy of the report.

4. Does your child have friends that are his/her age? Is it a challenge for your child to make age-appropriate friends?

5. Does your child have friends that are his/her age? Is it a challenge for your child to make age-appropriate friends?

6. What extracurricular activities or hobbies does your child enjoy?

7. How would you describe your child’s self-esteem or self-confidence?

School Address:

Sion-Trombay Road,
Next to Deonar Bus Depot,
Diagonally opposite TISS,
Govandi (E),
Mumbai - 400088

Connect:

Phone: +91-22-25563613, +91-22-25563614

info@gatewayschoolmumbai.org

Admissions enquiry? Fill in your details and we will contact you.

ADMISSIONS FORM

Please fill in the form below.pp

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