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Programs
Early Childhood
Kindergarten - 2nd Grade
After School Programs
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Registration 26/27
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Family Questionnaire
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FAQ
Founder & Director
Meet the Team
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Family Questionnaire
Child’s full name
*
Child’s preferred name
*
Birthday
*
Month
Day
Year
Languages spoken at home
*
Briefly describe your child’s strengths. What do they love to do? What are they passionate about?
*
How do you, as their guardian, nurture this passion?
*
Briefly describe your child's struggles.
*
How do you, as their guardian, support your child in their struggles?
*
What previous childcare center/preschool was your child at before APFW?
*
What was your child’s experience like at this center/preschool?
*
Does your child have any dislikes we should be aware of? (trying new foods, transitions, bugs)
*
Describe any physical, emotional, behavioral, or learning issues your child may have that you think we should know about so that we can support them throughout the year.
*
How does your child communicate? (check all that apply)
*
Speaks clearly
Understands multi-step directions
Uses complete sentences
Other
If other, please explain
How does your child display frustration and/or anger? (screaming, being aggressive, running away, hiding, crying, etc.)
*
If your child is not following explicit directions, how is this handled?
*
What areas does your child need help with?
Eating
Dressing
Toileting
At what time does your child generally wake up?
*
At what time does your child generally go to bed?
*
Does your child still nap? If yes, at what time and for how long?
*
Does your child fall asleep unassisted at nap?
Yes
No
How much screen time does your child have per day?
*
Has your child had a formal developmental evaluation and/or do they receive services privately or through early intervention? Do you have concerns about your child’s development?
*
Yes
No
If yes, please elaborate
How do you anticipate your child will handle the transition into our program?
*
My child is excited to attend
My child struggles with goodbyes
This is my child’s first time away from home
This will be a difficult transition for my child
Please share anything else that will help us take care of them effectively.
*
About your family
Guardians name(s)
*
Do both parents live with the child? Feel free to explain
*
Do any siblings live at home?
*
Yes
No
If yes, what are their names and ages?
*
How does your child and their sibling(s) handle conflict?
*
How, as the parent, do you handle the conflict between your children?
*
Names and relationship of other close family members (adults)
*
Names and relationship of other close family/friends (children)
*
What do you feel is important for your child to learn this year?
*
What are your hopes and aspirations for your child this year?
*
What are your favorite things to do as a family?
*
Is there anything about your family that you think we should know so we can support your child?
Submit
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