ACSD Preschool Interest Survey 2023

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2023 - 2024 School Year ONLY. Responses to this survey will not roll over to the 2024-25 school year.

The Bridport and Mary Hogan Preschool Programs are currently full. If you would like to be added to our waitlist, please feel free to fill out the survey and someone will be in touch if a space becomes available.

We encourage your family to consider other preschool options. Under Act 166, our district partners with pre-qualified private preschool programs to pay tuition for 10 hours/week, 35 weeks/year of preschool. This means that your child could attend these private programs with a tuition discount. Your first step would be to contact the private program directly about enrollment.

Email *

Student Information

Children must be three years old by September 1, 2023, in order to be eligible for preschool.

Child's full legal name: *

Child's preferred name:

Child's Date of Birth *

YYYY

Preschool Grade Level: *

3 (as of 9/1/2023)

Other:

Gender *

Male

Female

Non-binary

Mailing Address: *

Physical Address (if different from mailing address):

Town your child physically lives in: *

Bridport

Cornwall

Middlebury

Ripton

Salisbury

Shoreham

Weybridge

What is your child's first language? *

English

Other:

Please check any services that your child/family is currently receiving: *

Special Education/EEE services

Children's Integrated Services (CIS)

Addison County Parent Child Center

Head Start/Early Head Start

Counseling Service of Addison County

Department of Children and Families

WIC

Dr. Dynasaur/Medicaid

Reach Up or 3 Squares VT

Migrant Education

None of the Above

Required

Does your child already have a spot in a preschool/childcare setting? *

Yes

Which preschool program are you most interested in having your child attend?

Bridport Preschool Program only

Mary Hogan Preschool Program only

Bridport Preschool Program preferred but will consider Mary Hogan

Mary Hogan Preschool Program preferred but will consider Bridport

No preference

Clear selection

What are your family's plans if your child does not get a preschool spot in one of the ACSD Preschool Programs? *

Family Information

A few more questions...

Parent/Guardian/Contact 1 Name: *

Relationship to the child: *

Home phone:

Cell phone:

Child lives with:

Yes

Shared

Clear selection

Parent/Guardian/Contact 2 Name:

Relationship to the child:

Home phone:

Cell phone:

Child lives with:

Yes

Shared

Clear selection

Siblings (names and ages):

Is your family currently in unstable housing (homeless; live in temporary housing due to loss of housing or economic hardship including motel, car, or campsite; doubled up with friends/family; living in a shelter or transitional housing; or otherwise falls under the McKinney-Vento Act)? *

Yes

Other:

Any additional comments/information that you would like to share:

A copy of your responses will be emailed to the address you provided.

Submit

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