Preschool Interest Survey

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Please complete the following survey and submit no later than Wednesday, May 25, 2016. Thank you in advance for your input.

Please indicate the names and birthdates of children in your household that are not currently enrolled at Dimmick Grade School. Example: John Smith 10/09/2013. *

Please check which programs you would participate in if offered at Dimmick School: (Select all that applies) *

3 year old 1/2 day preschool program (3 days/week)

3 year old 1/2 day preschool program (5 days/week)

4 year old 1/2 day preschool program (5 days/week)

4 year old FULL DAY preschool program (5 days/week)

Other:

Required

Given that the State of Illinois currently has no funding available for start-up preschool programs we know that we would have to explore a tuition based program that is self-sustainable. Please indicate the maximum amount per child per month that you would be willing to pay if we were able to provide a high quality preschool program at Dimmick. *

$100.00 per child per month

$150.00 per child per month

$200.00 per child per month

$250.00 per child per month

$300.00 per child per month

$350.00 per child per month

$400.00 per child per month

Required

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