Thank you for expressing interest in the Kankakee School District Programs. We serve children throughout Kankakee County in a high quality early childhood setting and provide an array of services that include school readiness, health and nutrition services, social and emotional development, parent engagement activities, family and mental health services and so much more. To qualify, your child must be age eligible and your family must be income or categorically eligible. If you already applied for the program and want to update your application or add another child, YOU MUST CALL US at (815)802-4966 or email kelly-battrell@ksd111.org otherwise the system will deny your application. Once you submit your child's application we will contact you to schedule a screening.
Parent/Guardian
First Name (Required)
Last Name (Required)
Birthday (Required)
Gender
Female
Male
Email Address (Required)
Confirm Email Address
It appears that you have previously submitted an application. If you wish to apply again, please contact us by phone or in person.
Mobile Phone
Opt In for Text Messages
Yes
No
Home Phone
Work Phone
Ext.
It appears that you have previously submitted an application. If you wish to apply again, please contact us by phone or in person.
Race
American Indian or Alaska Native
Asian
Black or African American
Multi-racial/Biracial
Native Hawaiian/Other Pacific Islander
Other
Unspecified
White
Hispanic
Yes
No
Highest Grade Completed
Bachelor's Degree
General Education Diploma
High School Graduate
Master's Degree
No HS Diploma/GED
Some College/Voc Sch/AA Degree
Employment Status
Full-time & Training
Full-time (35 hours/week or more)
Part-time & Training
Part-time (Under 35 hours/week)
Retired or Disabled
Seasonally Employed
Training or School
Unemployed
Child's Relationship
Biological/Adopted/Step
Foster
Grandchild
Other
Other Relative
Custody
Yes
No
Lives with Family
Yes
No
Address
Is your family experiencing homelessness?
Yes
No
Living Address (Required)
Address Line 2
City (Required)
State (Required)
ZIP (Required)
Click here
to find a provider in your area.
Mailing Address same as Living Address
Mailing Address
Address Line 2
City
State
ZIP
Additional Parent/Guardian
Only complete if living in household and is legal guardian of child.
Is there another parent/guardian in the family?
Yes
No
First Name (Required)
Middle Name
Last Name (Required)
Birthday (Required)
Gender
Female
Male
Email Address
Confirm Email Address
It appears that you have previously submitted an application. If you wish to apply again, please contact us by phone or in person.
Mobile Phone
Opt In for Text Messages
Yes
No
Home Phone
Work Phone
Ext.
It appears that you have previously submitted an application. If you wish to apply again, please contact us by phone or in person.
Race
American Indian or Alaska Native
Asian
Black or African American
Multi-racial/Biracial
Native Hawaiian/Other Pacific Islander
Other
Unspecified
White
Hispanic
Yes
No
Highest Grade Completed
Bachelor's Degree
General Education Diploma
High School Graduate
Master's Degree
No HS Diploma/GED
Some College/Voc Sch/AA Degree
Employment Status
Full-time & Training
Full-time (35 hours/week or more)
Part-time & Training
Part-time (Under 35 hours/week)
Retired or Disabled
Seasonally Employed
Training or School
Unemployed
Child's Relationship
Biological/Adopted/Step
Foster
Grandchild
Other
Other Relative
Custody
Yes
No
Lives with Family
Yes
No
Family Information
Number of Parents/Guardians
One Parent Family
Two Parent Family
Relationship to Participant(s)
Foster parent(s) not including relatives
Grandparent(s)
Other
Parent(s) (e.g. biological, adoptive, stepparents)
Relative(s) other than grandparents
Primary Language at Home
African Languages
American Sign Language
East Asian
English
Europeon Languages
Hindi, Middle Eastern
Mixteco, Central & South American
Spanish
Number in Family
Is your family receiving cash benefits or other services under the Temporary Assistance for Needy Families (TANF) program?
Yes
No
Is your family receiving Supplemental Security Income (SSI)?
Yes
No
Is your family receiving services from WIC?
Yes
No
Is your family receiving services under the Supplemental Nutrition Assistance Program (SNAP), formerly referred to as Food Stamps?
Yes
No
Is at least one parent/guardian an active duty member of the United States military?
Yes
No
Is at least one parent/guardian a veteran of the United States military?
Yes
No
Emergency Contacts
Add Emergency Contact
Child (Applicant)
Please complete for the child you are applying for.
First Name (Required)
Middle Name
Last Name (Required)
Suffix
Birthday (Required)
Gender
Female
Male
Race
American Indian or Alaska Native
Asian
Black or African American
Multi-racial/Biracial
Native Hawaiian/Other Pacific Islander
Other
Unspecified
White
Hispanic
Yes
No
Primary Health Coverage
Combined Medicaid/CHIP
Medicaid
No Insurance
Private Health Insurance
Other Coverage
Combined Medicaid/CHIP
Medicaid
No Insurance
Private Health Insurance
Medicaid Eligibility
Not Eligible
On Medicaid
Potentially Eligible
Medicaid Number
Doctor/Medical Home
ABC Pediatrics
Abdemalak
Advocate Medical Group
Akintilo
Alford
Aunt Martha's
Banas
Barclay
Batish
Batista
Capps
Choudry
CHP
Denault
Downing
Dr Mankus
Dr. Lee
Dumais
Family Christian Center
First Care Family Clinic
Garcia
Goodman
Gray
Irons
Iskander
Joliet East Clinic
Joliet Pediatrics
Jonas
Junior High Clinic
KCHD
Kim
Kippel
Kolla
LaRabida
Lawndale Christian Health Ctr
Leahy
Longtin
Luwickie
Mankus
Mankus
McBride
McCuiston
Olofsson
Oo
Pan
Patel
Razdan
Rebadio
Reddi
Reddick
riverside medical
RMG-PCA Pavillion
Samuel
Schroeder
Shannon
Sterling
UIC
UIHHSS Mile Square Health Center
Waheed
Wu
Yahmmy
Youssef
Zaheer
Dentist/Dental Home
1st Dental
Advanced Family Dental
Algenio
All Star Dental
Allcare Dental & Dentures
Apple Dental Care
Aspen Dental
Aunt Martha's
Bellur
Bite Size Dentistry
Bradley Dental
Chicago Dental Partners
Ching
CHP
CHP
Coats
Community Health Partnership
Crawford
Dental Dreams
Dental Group of Bourbonnais
Dental Smiles
Dental Xperts
Division Dental Clinic
Doral Dental
Doss
George
Jones
Joyful Smiles
Junior High Clinic
Keller
Kool Smiles
Kramer
Krisko
Lamonte
Lawndale Christian Health Ctr
Maniakouras
manteno family dental
Nicholas
OConnor
Patel
Perry
Pilsen Dental
pippin dental
Premier Family Dental
Raffi
Shikami
Slavin
Smiles By Design
st. bernard hspital and health c
Testa
UIC
Vallone
Weatherford
Wertz
Does your child have a disability or do you have any concerns about your child's development?
Yes
No
Is there anything else you want to tell us about your child?
Location Preferences
Which program are you applying for? (Required)
Preschool 2024-2025
Free Preschool For Children Ages 3 to 5
Location Preference
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1st Location Preference
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2nd Location Preference
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3rd Location Preference
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- Your Address
- Available Locations
Click a location on the map to see more info
Click here
to find a provider in your area.
Additional Applicant
Do you want to apply now for another child in your family?
Add Another Applicant
Siblings
Are there other children in the family?
Add a Sibling
Required information is missing, see above.