STEM Preschool Application - After School Program
3120 South Abingdon Street Arlington, VA 22206
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Email *
Program applying for: *
Required
Applying for. . . *
Fairlington Resident *
What Elementary School does your child attend? *
Where is your child's pick-up location? (Abingdon Elementary is the only school we pick up at. We will pick up at a bus stop within walking distance to STEM Preschool.) *
Student's Full Name (Last, First, Middle) *
Preferred Name
Birth Date *
MM
/
DD
/
YYYY
Age *
Gender *
Grade of Student *
Student's Full Address *
Home Phone *
Current School or Care Provider *
Telephone Number of Care Provider *
Parent/Guardian's First and Last Name *
Address, if different from child *
Email Address *
Occupation and Employer *
Home Phone, Cell Phone, Business Phone *
Parent/Guardian's First and Last Name
Address, if different from child
Email Address
Occupation and Employer
Home Phone, Cell Phone, Business Phone
How did you hear about STEM Preschool? *
I understand that in order to be considered as an applicant, I must submit the $60 application fee with this application. Once I submit my application, STEM Preschool will contact me February of the anticipated enrollment school year with enrollment details or when a spot becomes available. *
Required
A copy of your responses will be emailed to the address you provided.
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