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Knox County Schools Blended Preschool Program Application 2023 - 2024
Please fill out the form below completely to apply for your child to be a peer model for the 2023-24 school year.
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* Indicates required question
Email
*
Your email
Child's Full Legal Name
*
Your answer
What is your child's preferred first name?
*
Your answer
Gender
*
Boy
Girl
Date of Birth
*
(Must be 3 yrs old by August 15, 2023)
MM
/
DD
/
YYYY
Ethnicity
*
Hispanic
Non-Hispanic
Race
*
Check all that apply
Asian
Black
American Indian
Pacific Islander
White
Required
Is your child currently enrolled in a blended preschool classroom as a peer model?
*
Yes
No
If yes, please list teacher and school:
Your answer
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