CSD Early/Late Entrance Application
Directions: To gain a clear understanding of your request and your child’s development, please complete steps below. (See CSD Board Policy 5112 http://neola.com/cedarburg-wi/search/policies/po5112.htm)

Applications are due on or before May 1, of the year preceding enrollment.

Step 1: Parent and Student Information
Parent/Guardian Name
Your answer
Phone Number
Your answer
Home Address
Your answer
Name of Student
Your answer
Date of Birth
MM
/
DD
/
YYYY
Step 2: Application Type
Four Year Old Kindergarten Late Entrance - This applies to students who will be five years of age by September 1, and whose parents would like to enroll them in four year old kindergarten (4K).

Five Year Old Kindergarten Early Entrance - This applies to students who will be five years of age before September 1, and whose parents would like them to enroll in five year old kindergarten (5K).

First Grade Early Entrance - This applies to students who will be six years of age after September 1 and/or have not previously enrolled in kindergarten, and whose parents would like them to enroll in first grade (Grade 1).

Check which application you are requesting consideration for:
Step 3: Describe your child’s development in the following areas, in comparison to other children of his/her same age:
Intellectual:
Your answer
Emotional:
Your answer
Fine & Gross Motor:
Your answer
Language:
Your answer
Math:
Your answer
Reading:
Your answer
Social Skills:
Your answer
Other Information: If you have any other information you’d like to share about your child’s development that was not shared above, please do so in the space provided:
Your answer
Step 4: Please sign and date your application.
Electronic Signature (Name and Date)
Your answer
Submit
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