2023-2024 Full-Day Pre-K Application – Early Childhood Center

Child's First Name *

Legal name on birth certificate

Child's Middle Name *

Legal name on birth certificate

Child's Last Name *

Legal name on birth certificate

Child's Gender *

Male

Female

Child's Date of Birth (Child must be 4 years of age on or before September 1, 2024) *

Parent/Guardian First Name *

Parent/Guardian Last Name *

Parent/Guardian First Name

Parent/Guardian Last Name

Home Address *

Home Address

Street Address (Include Apt Number if applicable)

Home Address

City

State/Province

Zip/Postal

Home Phone *

Cell Phone *

Work Phone

Email Address *

Number of Children in Household *

Number of Adults in Household *

1. Will the child be 4 years of age on or before September 1, 2024 *

Yes

No

2. Can child speak and comprehend the English language *

Yes

No

Language spoken at home:

English

Spanish

Other

Language child speaks most of the time:

English

Spanish

Other

3. Does child lack a fixed, regular and adequate night-time residence? *

Yes

No

4. Is child educationally disadvantaged-eligible to participate in the National School Lunch Program (NSLP) based on family income or have a SNAP or TANF eligibility group number?
Click here for listing of supporting documents *

Yes

No

5. Child of an active duty member or armed forces of the United States, including the state military forces or a reserved component of the armed forces who is ordered to active duty by proper authority?
Click here for listing of supporting documents *

Yes

No

6. Child of a member of the armed forces of the United States, including the state military forces or a reserved component of the armed forces, who was injured or killed while serving on active duty?
Click here for listing of supporting documents *

Yes

No

7. Has the child ever been in the conservatorship of the Texas DFPS (foster care) following an adversary hearing?
Click here for listing of supporting documents *

Yes

No

8. Child of a person eligible for the Star of Texas Award
Click here for listing of supporting documents *

Yes

No

If you answered "No" to question #2 or put a language other than English, the school will contact you.

If you answered "Yes" to question #3, the school will contact you.

If you answered "Yes" to questions #4, 5, 6, 7 or 8, you MUST provide the appropriate documentation to support the eligibility criteria. Please upload appropriate documentation below or email kthompson@flourbluffschools.net

If you answered "Yes" to questions 4, 5, 6, 7 or 8, upload required documentation to support the eligibility criteria here. Click here for listing of supporting documents

Maximum file size: 516MB

I understand that ALL documentation must be submitted for the application to be considered. I understand the campus will notify me if my child is eligible to participate in the Pre-K program. *

Agree

I understand NOT providing the required documentation will delay my application.

Agree

I verify that I am the parent or legal guardian of this child.

Agree

Full-Day Pre-K Application

2023-2024 School Year

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