APPLICATION INSTRUCTIONS School Year

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1 APPLICATION INSTRUCTIONS School Year Please read the description of Montgomery Public Schools First Class Pre-K Program on the Montgomery Public School website at Click on the For Parents section found at the top of the page and look for the First Class Pre-K tab. If our program matches your child s needs, complete the application and return it to the McKee Pre-K Center. MPS offers a free full-day, high-quality program with certified teachers. Our First Class Pre-K programs usually operate on the regular school system calendar. Students attend educational field trips monthly and parents are expected to attend. Programs may be offered at local public schools or through private providers of preschool services such as Head Start and Family Guidance Success By 6. Transportation IS NOT provided for First Class Pre-K Students. Montgomery Public Schools First Class Pre-K Program is a Title I and State Grant funded educational program for all age eligible four-year-old children in the Montgomery Public Schools District. The application must be filled out completely. Failure to do so may result in an application not being considered. Please type or print clearly all information on the application. All applications received after March 16, 2017 will not be considered for immediate selection. Applicants must be four (4) years old on or before September 1. Parents that are interested in Southlawn or Highland Gardens Pre-K are required to be zoned for those schools. Please provide the following when submitting your application: Birth Certificate, Proof of Residence (current utility bill with the parent s name; electric or gas); and current lease or mortgage, Parent and/or Guardian s Picture ID. Parents will receive a phone call after March 16, 2017 for a scheduled Pre-K Screening. The results from the Pre- K Screening will have no impact on your child s lottery selection for acceptance into the program. PROGRAM HOURS 7:45 a.m. to 2:30 p.m. ALL students must be picked up by 2:30p.m. PROGRAM ACCEPTANCE Letters will be mailed to all applicants that apply for Montgomery Public Schools First Class Pre-K Program: McKee Pre-K, Floyd Pre-K, Highland Gardens Pre-K, Wares Ferry Pre-K, Southlawn Pre-K, and Pintlala Pre-K notifying parents of their child s status by April 24, Parents should return acceptance letters to the McKee Pre-K Center Office by May 8, THESE ITEMS ARE REQUIRED AFTER YOU RECEIVE A LETTER OF ACCEPTANCE A current Alabama Blue Immunization Certificate (current shot record); Social Security Card is optional, however can be helpful in completing the registration process. All students are required to have a health screening at school or by their private physician. *Please make sure you return your application to the correct agency: Application Location: McKee Pre-K Center s Office: 4015 McInnis Road, Montg.,AL Apply and return applications for these schools to McKee Pre-K Floyd, Highland Gardens (1 class), Pintlala, Southlawn (1 class), Wares Ferry (1 class), and McKee Pre-K Center (9 classes). Application Location Head Start Office: 1021 Highland Ave, Montg., AL Apply and return applications for these schools to Head Start - Carver, Catoma, Garrett, Highland Gardens (1 class), T.S. Morris, Southlawn, Wares Ferry (1 class), E.D. Nixon, and McKee Pre-K Center (1 class) Application Location Family Guidance Pre-K Office: 2358 Fairlane Drive Building H, Montg., AL Apply and return applications for these schools to Family Guidance - Davis and Martin Luther King If you have questions, please contact McKee Pre-K Center Office at: (334)

2 Please Print: Applicant s Last Name First MI NOTE: APPLICATIONS WILL BE ACCEPTED MONDAY-THURSDAY ONLY FROM 8:30 A.M.-2:00 P.M. APPLICATIONS MUST BE SUBMITTED TO MCKEE PRE-K CENTER BY 2:30 PM ON March 16, Circle the site you wish to apply for: RETUNE TO MCKEE PRE-K CENTER Montgomery Public Schools Pre-K Programs Application Please type or print all information except signature Applicant s Last Name First Name Full Middle Name Sex / / - - ( ) DOB (Ex. 08/28/09) Social Security Number Home Telephone Number (optional) Applicant s Address (P.O. Box and rural routes not acceptable) City State Zip Parent or Guardian 1: Last Name First Name Home Telephone Work Telephone Parent or Guardian 2: Last Name First Name Home Telephone Work Telephone Address McKee Pre-K Center Highland Gardens Elem. Wares Ferry Elem. Southlawn Elem. Pintlala Elem. Floyd Elem. *If there are legal documents regarding the custody of the student, please provide a copy of the most recent order or agreement. Applicant s ethnicity: American Indian Asian Black (Circle One) Hispanic White Other Emergency Information: Persons to be contacted when the parent or guardian cannot be reached. These contacts also have my permission to pick up this student from school in the event of an emergency. CHECK HERE IF NO EMERGENCY CONTACTS AVAILABLE. Contact Names* Relationship Home Phone Work Cell Application Received Initials: Pre-K Screening I hereby certify under penalty of perjury that the information given above, is correct and true to the best of my knowledge. PARENT SIGNATURE DATE Office Use Only Eligible Ineligible Waiting List Birth Certificate Social Security Card Proof of Residence Immunization Record Parent/Guardian Acceptance Letter

3 Instrucciones de Aplicación año escolar Por favor lea la descripción del programa de Pre-K de alta calidad de las Escuelas Públicas de Montgomery en el siguiente sitio web Hacer clic en la sección Para los Padres que se encuentra en la parte superior de la página y busque la sección que está marcada First Class Pre-K. Si nuestro programa coincide con las necesidades de su hijo/a, complete la aplicación y devuélvala a McKee Pre-K Center. MPS Ofrece un programa gratuito de día completo y de alta calidad con profesores certificados. Nuestros programas Pre-K de Primera Clase usualmente operan en el calendario regular del sistema escolar. Los estudiantes asisten a excursiones educativas mensuales y se espera que los padres asistan. Los programas pueden ser ofrecidos en las escuelas públicas locales o a través de proveedores privados de servicios preescolares tales como Head Start y Family Guidance Success By 6. El transporte NO se proporciona para los estudiantes de First Class Pre-K El Programa First Class Pre-K de las Escuelas Públicas de Montgomery es un programa educativo financiado por el Título I y subvención estatal para todos los niños de cuatro años de edad elegibles en el distrito escolar de las Escuelas Públicas de Montgomery. La aplicación debe ser llenada completamente. El de no hacerlo puede resultar en la descalificación del solicitante. Por favor escriba a máquina o imprima toda la información sobre la aplicación. Todas las aplicaciones recibidas después del 16 de marzo, 2017 no serán consideradas para la selección inmediata. Todos los solicitantes deben de tener 4 años de edad antes del primero de septiembre. Se requiere que los padres que estén interesados en Southlawn o Highland Gardens Pre-K estén programados para esas zonas escolares. Por favor proporcione la siguiente información al presentar la solicitud: Acta de nacimiento, prueba de residencia (factura de servicios públicos con el nombre del padre; electricidad, gas, o agua); contrato de la renta, e identificación de fotografía del padre o guardián. Los padres recibirán una llamada telefónica después del 16 de marzo, 2017 para una programada evaluación de Pre-K. Los resultados del examen Pre-K no tendrán ningún impacto en la selección de lotería de su hijo para su aceptación en el programa HORARIO DEL PROGRAMA 7:45 a.m. A las 2:30 p.m. Todos los estudiantes deben ser recogidos a las 2:30p.m. APROBACIÓN DEL PROGRAMA Las cartas serán enviadas por correo a los solicitantes que aplicaron a Montgomery Public Schools First Class Pre-K Program: McKee Pre- K, Highland Gardens Pre-K, Wares Ferry Pre-K, Southlawn Pre-K, Floyd Pre-K, y Pintlala Pre-K notificando a los padres sobre el estado de matriculación de su niño/a antes del 24 de abril, del Los padres deben devolver la carta de aprobación a la oficina del Centro de McKee Pre-K antes del 8 de mayo, del ESTOS ARTÍCULOS SE REQUIEREN DESPUÉS DE RECIBIR UNA CARTA DE ACEPTACIÓN Un Certificado de Vacunación Azul de Alabama (récord de vacunas actual); Tarjeta de Seguro Social es opcional, sin embargo puede ser útil para completar el proceso de registro. Todos los estudiantes deben tener un examen de salud en la escuela o por su médico privado. * Por favor, asegúrese de devolver su solicitud a la agencia correcta: Ubicación de la aplicación: McKee Pre-K Center s Office: 4015 McInnis Road, Montg., AL Aplique y devuelva las aplicaciones para estas escuelas a McKee Pre-K Floyd, Highland Gardens (1 clase), Pintlala, Southlawn (1 clase), Wares Ferry (1 clase), y el Centro de McKee Pre-K (9 clases). Ubicación de la aplicación de la oficina de Head Start: 1021 Highland Ave, Montg., AL Aplique y devuelva las aplicaciones para estas escuelas a Head Start Carver, Catoma, Garrett, Highland Gardens (1 clase), T.S. Morris, Southlawn, Wares Ferry (1 clase), E.D. Nixon, y el centro de McKee Pre-K (1 clase) Ubicación de la aplicación para la oficina de Family Guidance Pre-K: 2358 Fairlane Drive Building H, Montg., AL Aplique y devuelva las aplicaciones para estas escuelas a Family Guidance Davis and Martin Luther King Si usted tiene alguna pregunta, por favor póngase en contacto con la oficina del Centro de McKee Pre-K (334)

4 NOTA: LAS APLICACIONES SERÁN ACEPTADAS DE LUNES A JUEVES SOLAMENTE DE LAS 8:30A.M. A LAS 2:00P.M. LAS APLICACIONES DEBEN SER PRESENTADAS AL CENTRO DE MCKEE PRE-K ANTES DE LAS 2:30P.M. EL 16 DE MARZO, DEL Marque el sitio que le gustaría aplicar: McKee Pre-K Center Primaria Highland Gardens Primaria Wares Ferry Primaria Southlawn Primaria Pintlala Primaria Floyd Escuelas Públicas de Montgomery Aplicación del Programa de Pre-K Escriba a máquina o imprima toda la información excepto la firma Application Received Initials: Pre-K Screening Por favor imprima: Apellido Nombre Segundo Nombre Apellido Nombre Segundo Nombre Género / / - - ( ) Fecha de Nacimiento (Ex. 08/28/09) Número de Seguro Social Número de Teléfono (Opcional) Dirección (Correos y rutas rurales no son aceptables) Ciudad Estado Código postal Padre o Guardián 1: Apellido Primer Nombre Teléfono de casa Teléfono del Trabajo Padre o Guardián 2: Apellido Primer Nombre Teléfono de casa Teléfono del Trabajo Correo electrónico ( ) * Si hay documentos legales con respecto a la custodia del estudiante, por favor proporcione una copia de la orden o el acuerdo más reciente. Origen étnico del solicitante: Indio Americano Asiático/a Negro (Marque uno) Hispano Blanco Otro Información de Emergencia: Personas que pueden ser contactadas cuando no se puede llegar a los padres o tutores. Estos contactos también tienen mi permiso para recoger este estudiante de la escuela en caso de una emergencia. Marque aquí SI NO TIENE CONTACTOS DE EMERGENCIA DISPONIBLES Nombres de Contacto* Relación Teléfono de casa Teléfono del Trabajo Celular Por la presente certifico bajo pena de perjurio que la información dada arriba, es correcta y verdadera a lo mejor de mi conocimiento. FIRMA DEL PADRE FECHA Office Use Only Eligible Ineligible Waiting List Birth Certificate Social Security Card Proof of Residence Immunization Record Parent /Guardian Acceptance Letter

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