Online Registration


Please review the section The Gifted Child to help determine whether or not your child is gifted and would benefit from a setting that stimulates and encourages intellectual growth. If yes, please fill out the pre-registration form below.




Additional Information:

After filling out the pre-registration form below, every parent of a new applicant must call The Village East Gifted Program Long Island to set up an interview. See our Contact Us section for the phone number for the Admissions Office.

Parents must provide their child's test scores, letters of recommendation and, if applicable, his/her school transcript. All these materials will be reviewed during the interview.

If accepted into the program, your child will be assigned a grade grouping.


Pre-Registration Form

Please submit a separate form for each child.
All fields below are required.

Student Information:
Student's Full Name:
Date of Birth: (enter as mm/dd/yyyy) Grade in September 2017:
Home Street Address:
Town:
State: Zip:
School District: School Attending:
Home Phone: (enter as 111-222-3333) Student's Cell Phone:
Family Email Address: Student Email Address:
Allergies/Medications
Please describe:
Father Information: Mother Information:
Father's Name: Mother's Name:
Father's Cellphone:
(enter as 111-222-3333)
Mother's Cellphone:
(enter as 111-222-3333)
Profession:
(past and/or current)
Profession:
(past and/or current)
Employer: Employer:
College(s) Attended: College(s) Attended:
Degree(s) Earned: Degree(s) Earned:
Work Phone: (enter as 111-222-3333) Work Phone: (enter as 111-222-3333)
Emergency Contact During Program Hours:
Full Name: Relation:
Cell Phone: Home Phone:
Additional Student Information:
Has your child's academic aptitude been tested by a public school or private service?
If "yes", did the assessment classify your child as a gifted learner?
Overall IQ Score:
Is your child currently enrolled in an enrichment program?
If "yes" to the above question, which program?
Name of Program:

Please describe:
Child's Age in September 2017
If your child has not been tested, please explain your child's characteristics that might indicate "giftedness":
Parent Narrative About Child:
(Please write a narrative about your gifted child: personality traits, talents, interests, areas of more enrichment needed, books currently reading, writing ability, unfavorite and favorite subjects in school, social relationships, emotional maturity and expectations of the VEG Program.)
Please enter 205827 in the box below to validate your registration: