Ross County Christian Academy Preschool Parent Questionnaire

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Please fill out form in its entirety.

Email *

Why would you like your child to attend RCCA Preschool? *

Has your child ever been referred for intervention or services for a special challenge they may face? *

Yes

If you answered YES to the question above, please explain below. If you answered NO, please type N/A. *

Did your child have an IEP written for them? (If yes, a copy must be submitted) *

Yes

What are two goals you have for your child regarding their whole development during the coming school year? *

Have you been referred to RCCA by a family who has a student enrolled in RCCA? *

Yes

If you answered YES to the question above, please provide the name of the family below. If you answered NO, please type N/A. *

By typing your full name below, you certify that the above information is true and answered to the best of your ability by electronic signature. *

Date Signed *

YYYY

Ross County Christian Academy does not discriminate on the basis of race, color, national, or ethnic origin.

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

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