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Early Childhood Education Experience Survey
This form requires Javascript to be enabled for submission and authorization.
*
Required
Student Name
*
required
First Name
Middle (optional)
Last Name
Please check next to the option that best describes your child’s preschool experience in the school year prior to entering Kindergarten. Select one option only and indicate hours where applicable. Thank you!
*
required
My child did not have any formal early childhood program experience.
My child attended a Licensed Family Child Care Provider: Licensed family child care provider located in a home.
My child attended a Center Based Program: Licensed child care center, Head Start Program, private or public preschool program.
My child did not have a formal early childhood program experience but participated in playgroups, library programs or organized sports.
How often did the child attend these services?
*
required
Less than 20 hours a week
More than 20 hours a week
If your child did not attend either preschool or childcare before beginning Kindergarten, please share your reasons why: (Please check all that apply.)
I chose to keep my child at home with me
My child was cared for by a relative or friend at home
I was unable to transport my child to preschool
I could not find a program that met my family’s scheduling needs
I was unable to afford preschool tuition
I applied for Tuition Assistance, but it was still not affordable
I applied for a program but was waitlisted
I was unaware that there was tuition assistance available
I was unaware of available preschool programs
Other
If other, please explain:
Submit
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