ECC Application

Today's Date*

MonthDayYear
Date
Our application is designed to give more insight into your child and the best placement for them. Please reserve at least 30 minutes to fill it out. We thank you in advance for your candid and thorough responses.

To make the experience as efficient and seamless as possible, we suggest you first create a free JotFrom account and gather the necessary paper and digital files you will need, including a recent family photo and any applicable IEP/IESP reports. You can save your progress and return to the questionnaire at any time. Saving your work requires you to be logged into the JotFrom account, via Hippa regulations; the "Save" button is at the bottom of the "Additional Questions" section.

Within 2-3 weeks of completion, applicants families will be notified of an admissions decision. For an application to be considered complete, the non-refundable $100 application fee must be submitted via check, made payable to Sarah Lawrence College Early Childhood Center.

Please address any postal mail to:
Lorayne Carbon
Early Childhood Center
Sarah Lawrence College
One Mead Way, Bronxville, NY, 10708

Please reach out to our office if you have questions in filling out the application.

Child's Information
Child's Name*

First NameMiddle NameLast Name
Child's Date of Birth*

MonthDayYear
Date
Child's Gender*
Program Applying For*
Parent Participation Acknowledgement *

Clear
By signing, you acknowledge that you understand a parent/guardian is required to attend with their child for the full academic year.
Previous School/Group Care Experiences
Is your child currently enrolled in, or have they ever been enrolled in, another school or group care setting?*

YesNo
Please list all schools or group care settings your child has previously attended, along with dates of enrollment.*
Please describe your child's previous school or group care experience. What was the educational philosophy of the school/daycare? How did your child function within that framework? Was it a good match? What did your child find the most enjoyable aspect of that experience? What aspect did they find the most challenging?*
Please list any experiences your child has had in group settings, other than school or daycare, e.g. music or sports classes, pods, library classes, playgroups, etc.

Family Information
Parent/Guardian 1 Name*

First NameLast Name
Parent/Guardian 1 Email Address*
example@example.com
Parent/Guardian 1 Mobile Phone*
Please enter a valid phone number.
Parent/Guardian 1 Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Add additional parent/guardian?*

YesNo
Parent/Guardian 2 Name*

First NameLast Name
Parent/Guardian 2 Email Address*
example@example.com
Parent/Guardian 2 Mobile Phone*
Please enter a valid phone number.
Parent/Guardian 2 Address
Same as Parent/Guardian 1?*

YesNo
Parent/Guardian 2 Address (if different than Parent/Guardian 1)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian household structure*
Please explain your household structure.*
Please fill this field out if you chose "other" in response to the previous question.
Siblings
Please list ages of siblings or other children living in the child's household(s)
Please upload a recent family photo.*

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Are you a current or former ECC or SLC family?*

YesNo

Child Developmental Information
What is your child passionate about? What does your child like to do/play? *
Please describe your child's temperament and disposition.*
From your perspective, what are your child's strengths?*
What does your child find challenging?*
What do you find challenging about your child's behavior?*
In what language does your child primarily communicate?*
Please list other languages, if any, spoken in the home.
Does your child currently receive , or have they ever received, any supportive or therapeutic services, either privately or through publicly funded Early Intervention (birth-3) or through CPSE (3+) programs?*

YesNo
Please describe the service(s), your child's progress, and their experience. Include timeframe and frequency.*
Please describe the implications, if any, for both the indoor and outdoor classrooms. *
Please upload the latest IESP/IEP and/or progress reports from relevant providers.*

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Is there anything else about your child or your family you would like us to know?*

Additional Questions
Why did you choose to apply to the ECC?*
What are you hoping to get out the program for both you and your child?*
What are you hoping your child gains from attending the ECC?*
How did you hear about the ECC?*
Please explain.*
Please tell us whom we can thank for the referral.*
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