Huntley Community School District 158
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7:50-F1
Revised 2/24/16
Application for Early Entrance
Kindergarten
Huntley Community School District 158
Algonquin, Illinois 60102
If you feel that your child demonstrates academic achievement, social, emotional, and physical maturity appropriate
for kindergarten placement, and should be considered for early placement in kindergarten, please complete and return
the application to the Building Principal at the District home school your child would attend.
Child’s Name: _________________________________________________________
Last
First
Date of Birth: _____/_____/_____
Middle Initial
Address: ____________________________________________________________________________________________
Street
Gender:
Female
Parent/Guardian’s Name:
City
Zip Code
Male
Mr.
Mrs.
Phone: Home _______-_______-_______
District Home School:
State
Ms. _________________________________________________________
Work _______-_______-_______
Chesak Elementary
Leggee Elementary
Cell _______-_______-_______
Mackeben Elementary
Preschool Experience
List the preschools, Head Start, special education program, and/or other child care programs attended. Include the
dates of attendance and the approximate number of hours per week attended.
Name of School/Program
Dates of Attendance
# Hours/Week
I hereby certify that the above information is true and correct. I understand that this information is being provided for
possible early admission to kindergarten, and that school officials may verify the information on this form.
_____________________________________________________
Parent/Guardian’s Signature
S:\Supt_Adm\Policy\Forms\Section 7\Application for Early Entrance Kindergarten 7.50 F1.doc
___________________________________________
Date
Huntley Community School District 158
Page 2 of 3
7:50-F1
Revised 2/24/16
Parent Checklist
Please read each statement and check the box which indicates your child’s abilities as listed below. This checklist will
assist in determining your child’s readiness for early entrance to kindergarten.
Always
Physical Well – Being and Motor Development
Runs, jumps, and climbs with balance and control
Uses crayons, markers, and pencils to write and draw with control
Cuts with scissors independently
Performs self-help tasks independently such as dressing, zipping, tying
Personal and Social Development
Interacts cooperatively with adults and other children
Persists with tasks long enough to complete them or attain a goal
Cares about the feelings of others and shows kindness
Follows directions, rules, and routines without much assistance from an adult
Shares toys easily and takes turns with other children
Language and Literacy
Has a developed sense of humor and delights in word play
Is fascinated by books; seeks assistance in learning to read or is an early reader
Expresses ideas clearly; uses an extensive or advanced vocabulary
Writes name
Can identify letters
Uses letters to write words
Writes sentences and stories
Mathematics
Can recognize numbers 0-20
Touches each object as it is counted when counting a set of objects
Can orally count forward to 30
Uses problem solving strategies to gain understanding
Writes numbers 1-10
Can recognize shapes and talks about their attributes
Puts objects in order from smallest to largest
Science
Asks questions and shows interest in the world around them
Describes characteristics and basic needs of living things
Observes objects and is curious about how they work
Social Studies
Reads signs in their community environment and talks about what they mean
Knows and follows rules and understands the reasons for rules
Describes different jobs and responsibilities (firefighters put out fires)
Fine Arts
Recognizes colors
Sings and dances to familiar songs
Expresses ideas and experiences in drawing or painting
Uses materials to create different objects and designs
S:\Supt_Adm\Policy\Forms\Section 7\Application for Early Entrance Kindergarten 7.50 F1.doc
Frequently
Sometimes
Never
Huntley Community School District 158
Page 3 of 3
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Parent Questionnaire for Early Entrance
Directions: Please complete this application if you feel your child demonstrates superior academic, social, emotional,
and physical maturity and you wish for your child to be considered for early entrance to kindergarten.
1. Why do you think your child should be considered for early entrance to kindergarten? Please include your personal
observations of your child’s exceptional academic ability, along with social and emotional maturity.
2. How does your child respond when he/she tries something and does not succeed?
3. How does your child handle transitions and new situations?
4. How does your child interact with other children? Please focus on sharing, taking turns, and cooperating with others.
5. What types of chores and tasks does your child do at home? Please explain.
6. What do you see as possible advantages and disadvantages of entering kindergarten a year early?
Advantages:
Disadvantages:
For Office Use Only:
Date Received: ________ Initials: ______
S:\Supt_Adm\Policy\Forms\Section 7\Application for Early Entrance Kindergarten 7.50 F1.doc
Date for Meeting: _____________