District 97 - Blended Early Childhood Application for 2019-20 School Year
District 97 is now accepting applications for the two early childhood blended classrooms we are offering at Whittier Elementary School for the 2019-20 school year. We are seeking 20 general education students (10 per classroom) who will be between the ages of 3 and 4 years by Sept. 1, 2019; demonstrate age-appropriate language and social skills; are Oak Park residents; and are not enrolled in a preschool program.

To apply for the program, please complete this form and the two ASQ questionnaires linked below. Only when the application has been completed and the ASQs have been submitted will your child be considered for the blended early childhood program. If you need assistance or have additional questions, please contact Michele Suedbeck (msuedbeck@op97.org).

Email address *
Child's First Name *
Your answer
Child's Last Name *
Your answer
Child's Birthdate (must be 3 on or before Sept. 1, 2019) *
Your answer
Gender *
Home School (school where your child will attend kindergarten) *
Is your child currently enrolled in a preschool for the 2019-20 school year? *
Parent/Guardian #1 First and Last Name *
Your answer
Parent/Guardian #2 First and Last Name *
Your answer
Child's Home Address *
Your answer
Contact Phone Number *
Your answer
Email Address *
Your answer
ASQ:3 Questionnaire
In order for your child to be considered for the blended preschool classroom, please complete the following Ages and Stages Questionnaire. This survey should take no more than 15 to 20 minutes.

https://www.asqonline.com/family/dff98c

ASQ:SE Questionnaire
In order for your child to be considered for the Blended Preschool classroom, please complete the following Ages and Stages: Social Emotional Questionnaire. This survey should take no more than 15 to 20 minutes.

https://www.asqonline.com/family/465bf3

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