Williamson County Schools Early Childhood Program 2020-2021 School Year Fairview Elementary Site

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                           Williamson County Schools Early Childhood Program
                                         2020-2021 School Year
                                        Fairview Elementary Site

Fairview and Westwood Zoned Families:

***Please note that our Early Childhood classrooms are different from our Williamson County Pre-K programs. You can
find more information about the Pre-K programs that are offered in our county along with their application process on the
Williamson County Schools website: https://www.wcs.edu/district/departments/tla/pre-k/

Below you will find information about the Early Childhood program in Williamson County Schools. Please read all
information carefully before completing and returning an application.

The public-school systems serve children with identified disabilities beginning on their third birthday. Williamson County
Schools believes that children with special needs as well as children with typical development are best encouraged to
grow when included in the same Early Childhood classroom setting together. Our Early Childhood program integrates
students with disabilities and typically developing peer models. This program focuses on preacademic, motor (gross &
fine), language, social, & adaptive skills within the context of a preschool curriculum. The early childhood classroom
setting encourages all children through the use of play, movement, music and other developmentally appropriate activities
to teach foundational skills.

Early Childhood (EC) classrooms are located at a variety of schools across Williamson County, and the program site
children attend is based on their school zone. However, if there is availability at another site, you may elect to be
considered for multiple sites. EC sites do sometimes change between years based on the needs and makeup of the
county. Williamson County Schools is a rapidly growing district and occasionally unforeseen growth may result in the
change of an early childhood classroom location. If we learn of a change after your child has been accepted to a site, we
will communicate this change to you, and you may decide to enroll at the new location or decline your spot. Our hope is
that this will not happen, but we want parents to be aware that sometimes growth and school needs are outside our
control. EC classes meet on Monday, Tuesday, Thursday and Friday, and follow a modified Williamson County Schools
schedule. Children do not attend class on Wednesday. The EC classrooms have 2 sessions each day, an AM session
from 8:50-11:50 and a PM session from 12:50-3:50. You will be able to indicate your preference on the application. The
first day of school for the EC program will be Monday, August 17.

We are now accepting applications for typically developing peer models in our Early Childhood Programs for the 2020-
2021 school year. This is an opportunity for your 3, 4, or 5-year-old to attend the WCS preschool classroom. As some of
our peers return each year, we may have limited openings in some classrooms. Our enrollment of peer models is
designed to match/complement our enrollment of children with disabilities and is therefore based on a variety of factors
such as gender and age. Please note that, to be eligible for Williamson County’s Early Childhood Program, you must
reside in the Williamson County School zone (regardless of your employment status with Williamson County Schools),
and be able to transport your child to/from school as EC peers are not eligible for WCS bus services. If you live in the
Franklin Special School District or Maury County, your child is NOT eligible for the Williamson County Schools Early
Childhood program. There is no charge for the Early Childhood program.

In order to be considered for placement for the 2020-2021 school year, PLEASE SUBMIT APPLICATIONS by March
6th. You will be notified by e-mail if your child does or does not have a placement by April 1st. After March 6, we will
continue to take applications that will be added to our applicant pool, and you would be contacted by email if you child is
accepted as availability occasionally occurs throughout the school year. Applications may be sent by email or mail to
Rebecca Reimer at Fairview Elementary School. Interested families are also invited to attend our Prospective Peer
Open House on February 19 from 12:00-2:00 PM at Fairview Elementary School.

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                                          Fairview Elementary School
                                               2640 Fairview Blvd.
                                               Fairview, TN 37062
                                 ATTN: Rebecca Reimer, Early Childhood Program
                                        Email: Rebecca.reimer@wcs.edu
                                                    2020-2021

                       Special Notes (please read and select or initial for all statements)

   1. I understand that I am applying for the half day Early Childhood Blended Special Education Preschool
      (EC) Program, and this is not an application for the Prekindergarten (PreK) program a) yes, I am
      interested in the EC program
      b) No (please find additional info regarding PreK at
          https://www.wcs.edu/district/departments/tla/pre-k/)
      c) I am applying to be a peer model for EC but am also applying separately to PreK

   2. I understand that I must provide transportation for my child to and from school (initials) _______

   3. I understand that attendance is not mandatory for preschool students; however, significant absences
      and tardiness for arrival/dismissal may result in forfeiting my child’s spot in the program (initials)
      ________

                                           Preferred Location and Session

Please circle your preferred EC site (preferences are not guaranteed).
**You may select more than 1. You will first be considered for the site closest to your home but may be
considered for other locations as spaces are available. Please note that locations are subject to change as
deemed necessary by WCS**

   a)   Pearre Creek Elementary (Winstead, Hillsboro, Pearre Creek, Walnut Grove, Hunters Bend)
   b)   Scales Elementary (Scales, Grassland, Lipscomb)
   c)   Oak View Elementary (Thompsons Station, Heritage, Oak View, Creekside)
   d)   Crockett Elementary (Crockett, Kenrose, Edmondson, Trinity, Clovercroft – West of Wilson Pk)
   e)   Jordan Elementary (Jordan, Sunset, Nolensville, Mill Creek, Clovercroft – East of Wilson Pk)
   f)   Longview Elementary (Longview, Allendale, Chapmans Retreat)
   g)   Fairview Elementary (Fairview, Westwood)
   h)   Bethesda Elementary (Bethesda, College Grove)

Please circle your preference for which session you would like your child to attend (preferences will be
considered but are not guaranteed)
   a) AM Session (8:40-11:50)

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    b) PM Session (12:35-3:35)
    c) I would consider either session, but my preference is ______

                                                 Demographic Information

Child’s Full Legal Name: ___________________________ Preferred Name: ________________________

Child’s Date of Birth: (include year)__________________ Child’s Gender: __________________________

Parents and/or Guardian’s Name(s):

_______________________________________________________________________________________

Who has custody/educational rights of the child?
  a) both parents (no parenting plan)
  b) Mother
  c) Father
  d) Joint custody
  e) Other _________________________________________________________

Is there a parenting plan? (if yes, must be provided at time of enrollment) yes                 no

Siblings names/ages (if applicable) ___________________________________________________________

Home Address (include city & zip code):
__________________________________________________________________________________________

Email Address: ________________________ Best phone number: ____________________________________

WCS Elementary School of Zone: __________________________________
(all applicants must reside in Williamson County Schools zone. You can find your zoned school on WCS website or by visiting
http://www.infofinderi.com/ifi/?cid=WCS24LHVA4JX)

I certify that I am a Williamson County Resident. Residents zoned for other districts, including Franklin Special
School District or WCS employees who do not reside in WCS are not eligible for this program. False

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information will result in forfeiting your child’s spot in the program. (Signature) ________________________

Family language spoken in the home __________________ Child’s primary language _____________________
Tell Us About Your Child

1. My child is toilet trained (circle one)    yes   no in progress

2. The following traits describe my child’s personality:

a) Leader       c) Observer     e) Outgoing    g) Loud
b) Follower     d) Initiator    f) Reserved    h) Quiet

   3. In new situations, my child :
      a) is outgoing
      b) is shy initially but warms up quickly
      c) is shy and takes a long time to get comfortable

   4. When separating from parents, my child:
      a) separates easily (e.g. welcomes new experiences, adjust quickly)
      b) has much difficulty (e.g. clings to parents, cries, tantrums)
      c) is hesitant but adjust soon after parents leave

   5. My child follows directions:
      a) the first time asked
      b) after direction is repeated
      c) with great difficulty (e.g. concerns with understanding directions, hearing, listening, etc.)
      d) after several repetitions and reminders to follow through

   6. When upset, my child:
      a) calms quickly b) takes a while to recover         c) is not easily upset

   7. Regarding routines and schedules, my child:
      a) has a hard time adjusting to changes in routine
      b) goes with the flow and adjust easily to changes in routine
      c) usually needs preparation for changes in routine, but does well when warning is given

   8. My child handles conflict with another child by:
      a) telling an adult
      b) hitting/biting
      c) problem solving
      d) yelling/crying

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       e) moving away or moving on from the situation

   9. My child prefers playing:
      a) alone
      b) in small groups (2-3 children)
      c) may prefer playing with a few children but also has no difficulty in larger groups

   10. When finished with an activity or playing with toys and asked to put items away, my child: a) cleans up
       independently
       b) cleans up with reminders
       c) leaves the area/room without cleaning up
       d) needs adult support and assistance to clean up

   11. Regarding conversations, my child:
       a) responds to familiar adults
       b) responds to familiar and unfamiliar adults
       c) responds to familiar children
       d) responds to familiar and unfamiliar children
       e) responds to conversation with adults
       f) does not respond to conversation attempts with unfamiliar adults or children

   12. Regarding conversations, my child:
       a) initiates conversations with unfamiliar adults
       b) initiates conversations with unfamiliar children
       c) does not initiate conversation with others
       d) initiates conversations with familiar adults
       e) initiates conversations with familiar children

   13. Tell us about your child’s communication style:
       a) uses single words
       b) uses 1-2 word phrases
       c) speaks in sentences
       d) can easily hold a conversation

   14. Tell us about your child’s speech. Unfamiliar listeners can understand my child:
       a) less than 50% (you’re frequently asked what he/she said)
       b) about 50-75% (you’re sometimes asked what he/she is saying)
       c) more than 75% of the time. Other people mostly understand my child.

   15. Does your child ask for help when needed?     Yes     no   sometimes

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   16. Regarding answering questions:
       a) my child has difficulty answering questions
       b) my child is able to answer simple questions like “yes/no” questions
       c) my child can answer many types of questions including ‘wh’ questions (who, what where)

   17. My child is able to express his/her emotions: yes no sometimes

   18. My child enjoys helping other children yes not really

   19. When looking at books or being read to, my child
       a) loses interest quickly (prefers to be busy, on the go)
       b) will sustain attention/interest for 3-5 minutes
       c) loves sitting and listening to books and can maintain interest for entire story

   20. When in public, my child:
       a) walks beside an adult independently
       b) needs hands to be held for safety
       c) can walk independently, but I prefer to hold my child’s hand
       d) prefers/asks to be carried

   21. What are some of your child’s strengths? ______________________________________________

   ___________________________________________________________________________________.

   22. Do you have any concerns about your child’s development, education, or behavior?

   ___________________________________________________________________________________.

   23. Does your child have any medical concerns or allergies that we should be aware of? Does your child
       have an epi-pen?
       _____________________________________________________________________

   ____________________________________________________________________________________.

   24. What types of activities does your child prefer? __________________________________________

   ____________________________________________________________________________________.

   25. How does your child respond when frustrated? ___________________________________________

   _____________________________________________________________________________________.

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   26. In what ways would your child be a good model of behavior and communication in the EC classroom

    ___________________________________________________________________________________.

   27. What are your goals for your child this year? ___________________________________________

    _________________________________________________________________________________.

   28. Has your child had previous preschool or daycare experience? If so, please provide dates and any
       concerns that may have been brought to your attention. ____________________________________

     ___________________________________________________________________________________.

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