Preschool Learning Partner Screening Form
Please complete the following information for the office staff at East Haddam Elementary School.

 Appointments for a development screening and interview will be scheduled in the spring.  All children need to follow this process before being considered for the preschool learning partner program.  Eligible children will be chosen by the lottery method.  Further information regarding your child's screening date and time will be mailed to you after your information is received.

If you have any questions please call Denise Russo (860) 873-5076 or email her at denise.russo@easthaddamschools.org
登录 Google 即可保存进度。了解详情
电子邮件地址 *
Child's First Name *
Child's Last Name *
Child's Date of Birth *
/
/
Gender
清除所选内容
Mailing Address *
City *
State *
Zip Code *
Guardian's First Name *
Guardian's Last Name *
Guardian's Phone Number *
提交
清除表单内容
切勿通过 Google 表单提交密码。
此表单是在 East Haddam Public Schools 内部创建的。 举报滥用行为