Preschool Application Form
Please complete the application form below to be considered for the 2021-2022 school year. Once we receive your application, we will mail the appropriate at home screening forms to you. Peer applicants must complete the screening forms as part of the enrollment process. All screening forms are due by April 14, 2021.
This form will be available until March 31, 2021.
Sign in to Google to save your progress. Learn more
Parent / Guardian Name *
Email address *
Address *
Phone number *
Child's name *
Child Birth Date *
MM
/
DD
/
YYYY
How many months old is your child currently? *
What age will child be on September 1st? *
What is the primary language spoken at home? *
What is the preferred language for your child to be taught? *
Are you a Rockport Resident? *
Is your child potty trained? *
How many days per week do you want your child to attend? *
Required
What do you hope your child will gain from this inclusive experience? *
What academic expectations do you have for your child? *
Do you have any developmental concerns about your child?  (I.E. Speech, Motor, Social/Emotional, Behavioral, Attention or Cognitive?) *
How would you describe your child's temperament? *
Describe your child's interest in playing with other children: *
Are there any issues that would impact your child's ability to learn? *
Has your child had preschool experience?  Where?  For how long? *
Has your child received any early intervention services?  Please explain. *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Rockport Public Schools. Report Abuse
Google Forms