Pre-Application for Early Learning Center Preschool 24-25 school year.
Admittance to preschool is based on review of application and classroom availability.  Your application will be electronically date stamped upon completion.
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Email *
Name of Person completing application
Relationship to Child?
Students Last Name *
Students First Name *
Students Middle Name *
Gender *
Age *
Date of Birth *
Parents Name *
Street Address (within SWL District boundaries) *
City *
Zip code *
Cell phone
Home phone
Work phone
Medical/Birth History & Development
Are there any medical issues (physical or emotional) which the preschool team should be aware of? (ADD/ADHD,Autism,Behavior, academic, syndromes, etc.) *
Please list any Surgeries or Hospitalizations (for any reason) *
Were there any complications at birth? if yes, please explain *
Type of birth (check all that apply) *
Discharged with mom?  if no, please explain. *
Birth weight? *
Sat alone at what age? *
Crawled at what age? *
Walked at what age? *
Is your child receiving any therapies -i.e; speech, OT, behavioral? *
Has your child been previously evaluated for Special Education by the SWL preschool? *
My child can separate from his/her parent. *
Has your child been involved in activities outside of family (i.e. church,sports)? *
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