Interview Request Form

Please fill in this form and complete all parts.
Upon submission, you will be required to pay a non-refundable fee of $350, which is payable by cheque or electronically to:

Claremont Educational Services, Inc.
Admissions, The Claremont School
70 Silver Birch Avenue
Toronto, ON M4E 3K9

First Name *

Last Name *

Applying For… *

Dropdown *

Grade Applying For *

Birth Date (dd/mm/yyy) *

Diagnosis of dyslexia
or learning disability by
a doctor or psychologist *

Yes

Child lives with *

Single Parent

Both Parents

Guardian

Allergies

Medication

Home Address

Section

Student First Name

Student Last Name

Home Address *

Home Address

Section

If available, please upload, or mail us the following:

3 most recent report cards, including two most recent year-end reports
Individual Education Plan (IEP)
IPRC Information
OT and SLP assessments
Psycho-educational assessment

File Upload

Maximum upload size: 20MB

Parents' Information

Parent 1

First Name *

Last Name *

Parent 1 Address *

Parent 1 Address

Home Phone

Cell Phone

Work Phone

Email *

Confirm Email *

Occupation *

Employer *

Parent 2

First Name

Last Name

Parent 2 Address

Home Phone

Cell Phone

Work Phone

Confirm Email

Occupation

Employer

School Application Terms & Conditions

Applications are invited for students with dyslexia experiencing difficulties in Reading, Writing, and Math, diagnosed with Learning Disorders in Reading, Writing and Math:

Application to Claremont School is not a guarantee of acceptance.
The process involves an interview with one or more teachers, including the principal or principal designate; a school visit; review of school report cards and teacher referral form, IEP and psycho-educational assessment.
In addition to #2, we may ask to speak with your child’s teacher or teachers.
The school visit may be 1 – 3 days, in person or online if in-person visits are not allowed due to government or TPH restrictions.
Only after all the data has been collected and discussed by the Admissions Committee will acceptance be considered. This process may take weeks or months depending on when the application was received, prior applications and
If there are no spaces available, you will have the choice of an application fee refund or you may proceed with your application and be placed on the waiting list for the following year or the next available opening.
Application fees are non-refundable, with the exception listed in #6.

Terms and Conditions agreement

I agree to the above terms and conditions

I am paying the
Application Fee
of CAD$350 *

By Cheque

Online

Credit Card *

Parent 1 address details are being used for the credit card

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“Neil is a different boy from a year ago, not only because his reading is starting to come along, but because he is enjoying school and, once again, believes he can learn and succeed. Honestly, the Claremont School has been a god-send for Neil.”

—Gail Armstrong, Toronto, ON

Our mission is to teach students with dyslexia, so that they may fulfill their considerable potential and gain the skills and self-confidence needed for academic success.

—Evelyn Reiss

A warm and exceptional teacher, Evelyn provided a wonderful overview of the Orton-Gillingham approach in her Associate Level course. I consider it a privilege to have been her student.

—Avital (Tali) Kellerstein, Speech-Language Pathologist, Toronto, ON

Affiliations

Ontario College of Teachers Logo 100px

IDA Logo 100

Canadian Dyslexia Society Logo 100px

Ontario Federation of Independent Schools Logo 100px

Orton-Gillingham Logo 100px

Please Contact Us!

Claremont School

70 Silver Birch Avenue
Toronto, ON M4E 3K9
Phone: 416-778-6336

[email protected]