ELP Application

Applications will be accepted from October 6, 2018 through January 4, 2019 for students who will be turning 3 and 4 years old during the 2019-2020 school year. At this time, ELP does not have a preschool option for children turning 5 in September – December 2019.

Parents will be notified/emailed by January 11, 2019 regarding acceptance.

Tuition

Tuition for the 2019-2020 school year is $6,651.00, plus a 3% processing fee. Upon acceptance to the program, payment of your nonrefundable deposit and the remainder of your tuition can be made by Visa or MasterCard. After payment of your initial deposit, the remaining balance can be paid with two options: payment in full (you will receive a 2% discount for this option) or in three recurring payments on 8/31/19, 11/30/19 and 2/28/20 .If you have any questions regarding payment, please contact Celeste Forster, our Accountant at cforster@darienps.org

For Questions About the Application Process:

Please contact Laura Straiton at LStraiton@darienps.org.

Child's Information

Child's First Name *

Child's Last Name *

Sex *

Age *

Date of Birth *

Address *

Address 2

City *

State *

Zip *

Home Phone *

Home School *

Family Information

Mother/Guardian

Mother/Guardian *	Email *
Work Phone *	Cell Phone *
Is address same as child? * Yes No
If different, indicate address and home phone

Father/Guardian

Father/Guardian *	Email *
Work Phone *	Cell Phone *
Is address same as child? * Yes No
If different, indicate address and home phone

Parent Completing Application * Mother Father

Siblings

	Sibling's 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?

Other

Has your child ever been separated from you? *
Yes No

If so, how does she/he react?

What has been your child's experience with other children? (Play groups, day care, nursery schools, etc.)

Development Milestones

What are your child's interests?

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?