Transitional Kindergarten Parent Questionnaire

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EPS Transitional Kindergarten is a program for children:
1. who live within the boundaries of Everett Public Schools,
2. will be age five on or before August 31, 2022,
3. who are not currently enrolled in an early learning program and
4. who, through screening, demonstrate academic and/or social-emotional needs.

Please submit this questionnaire if you believe your child may qualify and are interested in knowing more about the program. Once we receive your form, we will review it, and contact you via phone (or email if we are unable to reach you on the phone).

Parent or Guardian Name (First & Last) *

Parent or Guardian email address *

Parent or Guardian Phone Number *

Child First Name *

Child Last Name *

Child Date of Birth *

YYYY

Street Address *

City *

Zip Code *

Is your child currently enrolled in an early learning program such as child care or preschool? *

Yes

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