STEM Preschool Application
3120 South Abingdon Street Arlington, VA 22206
Program applying for: *
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Applying for. . . *
Fairlington Resident *
Student's Full Name (Last, First, Middle) *
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Preferred Name
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Birth Date *
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Age *
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Gender *
Student's Full Address *
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Home Phone *
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Current School or Care Provider *
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Telephone Number of Care Provider *
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Parent/Guardian's First and Last Name *
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Address, if different from child *
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Email Address *
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Occupation and Employer *
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Home Phone, Cell Phone, Business Phone *
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Parent/Guardian's First and Last Name
Your answer
Address, if different from child
Your answer
Email Address
Your answer
Occupation and Employer
Your answer
Home Phone, Cell Phone, Business Phone
Your answer
How did you hear about STEM Preschool? *
Your answer
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. *
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