HWRSD INTEGRATED PRESCHOOL: PEER SCREENING APPLICATION

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HWRSD INTEGRATED PRESCHOOL: PEER SCREENING APPLICATION

YOU ARE COMPLETING AN APPLICATION TO BE SCREENED AS A PEER FOR THE 2025-26 HWRSD INTEGRATED PRESCHOOL PROGRAM! Unfortunately you have missed our peer application deadline for the 2024-25 School Year and that program is now closed. If you are concerned that your child may have a developmental delay, please call Maureen Smith at 978-626-0909 or email m.smith@hwschools.net.

IN ORDER TO BE CONSIDERED AS A PRESCHOOL PEER, you must reside in Hamilton or Wenham and your child must turn 3 or 4 by Sept. 1st. If your child turns 5 years old by Sept. 1st, they are eligible for Kindergarten and therefore not eligible for the Integrated PreK. If you have any questions please call 978-468-5489 or email preschool@hwschools.net.

The Hamilton-Wenham RSD does not discriminate in its programs, activities or employment practices on the basis of race*, color, sex, sexual orientation, gender identity, religion, disability, age, genetic information, active military/veteran status, marital status, familial status, pregnancy, or pregnancy-related condition, homelessness, ancestry, ethnic background, national origin, or any other category protected by state or federal law.

Email *

Child's Name *

Child's Sex

Male

Female

Clear selection

Child's Age *

Child's Date of Birth *

YYYY

Street Address *

Town *

Zip Code *

Home Telephone *

Please select your first choice of schedule for the 2025-2026 school year. (Please note that priority will be given to returning peers and families interested in 5 days per week.) *

5 days per week, (Monday, Tuesday, Thursday, and Friday 8:40a-1:50p; Wednesday 8:40a-12:30p)

3 days per week, (Monday and Friday 8:40a-1:50p; Wednesday 8:40a-12:20p)

2 days per week (Tuesday and Thursday, 8:40a-1:50p)

Required

Parent/Guardian Name (1) *

Parent/Guardian (1) Address *

Parent/Guardian (1) Email Address *

Parent/Guardian (1) Cell Phone *

Parent/Guardian (1) Work Phone *

Parent/Guardian Name (2) *

Parent/Guardian (2) Address *

Parent/Guardian (2) Email Address *

Parent/Guardian (2) Cell Phone *

Parent/Guardian (2) Work Phone *

What language(s) are spoken at home? *

Is your child currently enrolled in Early Intervention Services? If yes, please list. *

Do you have any additional information you would like for us to consider with your application?

Submit

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