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Peer Information & Forms
Attachments: Medical 14.15.pg2.doc 59K
South-Western City Schools Preschool Peer Information

If you are interested in having your three to five year old child become a peer model, and being taught in a classroom with disabled and non-disabled children, please call the Preschool Center at 801-8448 for office hours and enrollment information.

Applications are accepted throughout the school year. Children who are several months under the age of three and over the age of three are encouraged to fill out a peer model application. Peer model applications are dated the day they are received at the preschool and applications are reviewed in the order in which they are received. However, only children who are or will be three years old at the time of the peer observation will be contacted to participate when openings become available.

**Please bring in COMPLETE packets starting January 13, 2014 @ 8:00 a.m.**

Eligibility Factors for Enrollment of Peer Models:
  • Must be 3 or 4 years of age on or before September 30, 2014
  • Child must be fully toilet trained
  • Availability of space  (students accepted into program by the date applications are received)
  • Birth Certificate, immunizations, a current medical examination and other requirement enrollment forms must be provided before a preschooler may attend class.
  • Payment of monthly tuition.
Return documents listed below to be put on a list.
1. New Enrollment Letter
New Enrollment Letter.pdf

2. Peer Model Application
Peer Application.pdf

3. Parent Contract

4.  ADM-100

5.  Release Form
Release Form.pdf

6.  Roster/Photo/Video/Field Trip Permission Form
Roster Photo Video Permission.pdf

7. State and Federal Government Requirements
State and Federal.pdf

8.Health History
Health History.pdf

9. Medical Evaluation- This must be completed and turned in by August 15, 2014.

Bring the following documents with you in order to enroll your child:
** Original Birth Certificate
** Parent ID       
** Proof of Residency (2 current utilities / lease / closing statement)
** Proof of Custody (if applicable)


Dear Parent:

Thank you for your interest in the South-Western City Schools Peer Model Program.  Peer models are a vital part of the success of our preschool program.  We value the positive impact our typically developing children have upon our special needs children through appropriate modeling and peer interaction.  Peer models should exhibit appropriate social and communication skills.

Our program promotes development in communication skills, motor skills, independence, and a positive self concept.  We follow the Early Learning Content Standards endorsed by the Ohio Department of Education and provide literacy enriched and developmentally appropriate environments.  Our classrooms at the Preschool Center have a maximum of 12 preschoolers, 6 peer models and 6 children identified with special needs.  Our “satellite” classrooms housed in the elementary buildings have 4 peer models and 8 children identified with special needs.

Parents will be contacted by our preschool secretary if additional information is needed and when your preschooler is accepted in to our program.  If you have further questions, please contact Sharon Quigley or Dawn Brewer at 801-8448.  We are looking forward to meeting you and your preschooler.


Dawn Brewer
Preschool Coordinator

We’re glad you are considering enrolling your child as a Preschool Penguin!

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