Appoquinimink School District
502 S. Broad St.
Middletown, Delaware 19709

(put "0" if not premature)

For ASQ-3™ English

For ASQ:SE-2™ English

As part of consenting to do the ASQ screenings, I understand that screening information entered online will be shared with the Delaware Department of Education, Office of Early Learning,  the Delaware Department of Public Health and Delaware Health and Social Services  to determine overall developmental trends that will help with budget and resource decisions. Screening results will also be shared with your childcare provider, because they must keep track of completed developmental screenings (required by Delaware STARs) and your district of residence if there is a concern.

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