Request Information

Let Esther B Clark School-childrens Health Council know that you are interested in learning about their school. Provide your information below to request this school's viewbook and application. Your request will typically be processed within 24 hours. If you have more specific questions for this school, please use our Email Schools form instead.

Notes for Prospective Students

  • Must see recent ( within 2 years) psycho-educationsl testing report with cogintive and academic standard scores as well as social emotional rating scales.
  • The student's current and past IEP, Behavior Suport plan and any Incident reports from the past six months must also be included.
Role
Are you the:      
Email:
Guardian Information
Name of parent:
Student Information
Student First name:
Student Middle name:
Student Last name:
Student date of birth:
Student is:      
Currently in grade:
Seeking entry for grade:
Target start date:
Name of current school:
School type:         
Applying for financial aid?:         
About the Student
Please describe academic, athletic, and extracurricular interests of the student.:
Address and Telephone Number
Address:
City:
Country:
State:
Zip:

(enter "N/A" if not applicable)
Phone:
Student Login