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ELP Application

Early Learning Program (ELP) Application

Darien Public Schools

The Early Learning Program is an integrated preschool where children with special needs and children with typically developing skills learn from each other in a nurturing environment.  It has been part of the Darien Public School system since1996.  The Early Learning Program has classrooms located at Royle, OxRidge, and Tokeneke Elementary Schools. Please note: Site locations cannot be guaranteed.

Applications will be accepted from October 6, 2017 to January 4, 2018 for students who will be turning 3 and 4 years old during the 2018-2019 school year.  At this time, ELP does not have a preschool 5 year old option for children turning 5 from September to December 2018. Parents will be notified/emailed by January 13, 2018 regarding acceptance.

For questions, please contact Laura Straiton at LStraiton@darienps.org.

Upon acceptance to the program, payment of ELP fees can be made by Visa or Mastercard. You can make full payment or arrange for monthly installment payments by contacting Gladys Didia at GDiDia@darienps.org or 203-656-7431.

 


 


EARLY LEARNING PROGRAM (ELP) APPLICATION

Child's First Name*
Child's Last Name*
Sex*
   Date of Birth*
   Age*
Address*
City*
State*
Zip*
Home Phone*
Home School*

Family Information:

Mother/Guardian*
Father/Guardian*
Email*
Email*
Phone Info Phone Info
Work*: Work*:
Cell*: Cell*:
Is address same as child?*
yes no
Is address same as child?*
yes no
If different, indicate address and home phone If different, indicate address and home phone
Parent Completing Application* Mother Father
Siblings Name Age School (if applicable)
1
2
3
4

Development Milestones:

At what age approximately did your child:
Sit* Crawl* Walk* Toilet Train*
Speak... Several Words* Short Sentences* Complete Sentences*
Child's dominant language*
Language(s) spoken in the home*
Has your child received any medical attention for the following reason?
vision ears/hearing allergies speech
fine motor gross motor other
Has your child ever been seperated from you?*
yes no
If so, how does she/he react?
What has been your child's experience with other childern? (Play groups, day care, nursery schools, etc.)*

Development Milestones:

What are your child's interest?
What do you consider to be your child's strengths?
What else would you like us to know about your child?
Why would you like your child to participate?
What do you hope your child will gain from his/her preschool experiences?

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