Request edit access
Fall 2025 Preschool Screening
Screeners will be held at the Early Learning Village. The adult accompanying the preschooler to the screener must have a picture ID to enter the building.

The August screener is primarily for preschool, however if you are filling this form out for Early Entrance into Kindergarten note that the range for a child turning 5 is between August 2nd and October 15th. 
Email *
Email:  *
Your child's first and last name: *
Your first and last name: *
Your address: *
Child's date of birth: *
MM
/
DD
/
YYYY
Best contact phone number: *
If you would like correspondence to a different email than the one you are currently logged onto please share it below:
Do you have any specific concerns, or does your child have a current medical diagnosis?
How did you hear about the preschool screening?
Has your child attended public preschool before? If so, what school did they attend?
Does your child have an IEP (Individual Education Program)?
Clear selection
What is your child's primary language? *
Do you or your child need an interpreter? *
Choose a date for your child's screening appointment. *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Franklin County Public Schools.

Does this form look suspicious? Report