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Application: Early Entrance to Kindergarten
Complete this application if your child was born between August 2 and October 1, 2014 and you believe your child demonstrates academic achievement, social, emotional and physical maturity appropriate for kindergarten placement. A district committee will review the applications and make contact to schedule the assessment.
* Required
Email address
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Your email
Email
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Your answer
Potential Student/Guardian Information
Please complete the following.
What is your child's full name?
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Your answer
What is your child's birthdate? (Month/Date/Year)
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Your answer
What is your address?
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Your answer
Parent/Guardian's full name:
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Your answer
Phone number:
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Your answer
Preschool Experience
List the preschools or other child care programs attended. Include the dates of attendance and the approximate number of hours per week attended.
Name of School/Program, Date of Attendance, Number of Hours Per Week:
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Your answer
Name of School/Program, Date of Attendance, Number of Hours Per Week:
Your answer
Name of School/Program, Date of Attendance, Number of Hours Per Week:
Your answer
Name of School/Program, Date of Attendance, Number of Hours Per Week:
Your answer
Parent Checklist
This checklist will help to determine your child's readiness to enter school at an early age. Please read each statement and indicate your child's abilities as listed by checking the appropriate response.
Performs self-help tasks independently (dressing, undressing, zipping, tying).
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Most of the time
Sometimes
Never
Uses eye/hand coordination to perform fine motor tasks (drawing, writing, and cutting).
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Most of the time
Sometimes
Never
Uses balance and control to perform large motor task (walking, jumping, and skipping).
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Most of the time
Sometimes
Never
Shows eagerness to learn (curious and asks interesting questions).
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Most of the time
Sometimes
Never
Follows rules and routines.
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Most of the time
Sometimes
Never
Handles change and transition well.
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Most of the time
Sometimes
Never
Interacts and plays well with other children.
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Most of the time
Sometimes
Never
Is able to separate from parents, demonstrating security?
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Most of the time
Sometimes
Never
Works and plays independently.
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Most of the time
Sometimes
Never
Works until a task is completed.
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Most of the time
Sometimes
Never
Demonstrates responsibility by caring for materials and belongings.
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Most of the time
Sometimes
Never
Understands and follows two-step directions.
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Most of the time
Sometimes
Never
Listens for meaning in stories, discussions, and conversations.
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Most of the time
Sometimes
Never
Speaks clearly to share ideas and thought.
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Most of the time
Sometimes
Never
Can identify all letters.
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Most of the time
Sometimes
Never
Can sound out sight words phonetically.
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Most of the time
Sometimes
Never
Uses letters to write words.
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Most of the time
Sometimes
Never
Writes full name.
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Most of the time
Sometimes
Never
Can recognize numbers 0-20 and use them in context.
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Most of the time
Sometimes
Never
Can read number words and count forward to 30.
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Most of the time
Sometimes
Never
Can recognize and extend simple patterns (circle-triangle, circle-triangle, circle-triangle).
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Most of the time
Sometimes
Never
Can recognize and describe shapes.
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Most of the time
Sometimes
Never
Demonstrate understanding of positional words (up, in, near, under, over, behind).
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Most of the time
Sometimes
Never
Demonstrate understanding of time (before, after, tomorrow, yesterday).
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Most of the time
Sometimes
Never
Recognizes self and others as having same and different characteristics.
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Most of the time
Sometimes
Never
Describes roles and responsibilities of people (Firefighters, put out fires).
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Most of the time
Sometimes
Never
Recognizes the reasons for rules.
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Most of the time
Sometimes
Never
Parent Questionnaire
Please answer each question below.
Why do you feel your child should be considered for early admission to kindergarten?
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Your answer
In what types of activities does your child participate and can he/she focus for an extended period of time?
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Your answer
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