Apply Online

Please fill out the Kalamazoo County Pre-K Application! Easy as 1-2-3!

Proof of child's birthdate.
Proof of yearly family income.
Proof of current address.

WARNING!! If you have ever completed an application in the past please STOP, DO NOT complete the online application, and call our office at (269) 250-9845. Or, you can download a fillable application to complete and email along with required documents to hsenroll@kresa.org. Thank you!

PLEASE NOTE: To process eligibility and enrollment, we will need a completed application with ALL of the documents listed above. You can upload the required documents (proof of age, income, and residency) at the end of the online application. Or, you can download a copy of the application at www.DreamBigStartSmall.org and email it along with the required documents to hsenroll@kresa.org. Please make sure you enter a valid email address and phone number in the “Parent or Legal Guardian Information” section so you get notified of your eligibility.

PLEASE COMPLETE ALL SECTIONS AND QUESTIONS. IF ANYTHING IS NOT COMPLETED OR LEFT BLANK, YOUR APPLICATION IS NOT COMPLETE AND CANNOT BE PROCESSED.

First Name (Required)

Middle Name

Last Name (Required)

Suffix

Birthday (Required)

Gender (Required)

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 (Required)

Opt In for Text Messages

Home Phone (Required)

Work Phone (Required)

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 (Required)

Hispanic (Required)

English Proficiency

Other Language

Highest Grade Completed (Required)

Employment Status (Required)

Child's Relationship (Required)

Custody

Lives with Family

Provides Financial Support (Required)

Teen Parent

PLEASE COMPLETE ALL SECTIONS AND QUESTIONS. IF ANYTHING IS NOT COMPLETED OR LEFT BLANK, YOUR APPLICATION IS NOT COMPLETE AND CANNOT BE PROCESSED.

Is your family experiencing homelessness?

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

PLEASE COMPLETE ALL SECTIONS AND QUESTIONS. IF ANYTHING IS NOT COMPLETED OR LEFT BLANK, YOUR APPLICATION IS NOT COMPLETE AND CANNOT BE PROCESSED.

Is there another parent/guardian in the family?

First Name (Required)

Middle Name

Last Name (Required)

Birthday (Required)

Gender (Required)

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

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

Hispanic

English Proficiency

Other Language

Highest Grade Completed

Employment Status (Required)

Child's Relationship

Custody

Lives with Family

Provides Financial Support (Required)

Are there other adults in the household?

Add Another Adult

PLEASE COMPLETE ALL SECTIONS AND QUESTIONS. IF ANYTHING IS NOT COMPLETED OR LEFT BLANK, YOUR APPLICATION IS NOT COMPLETE AND CANNOT BE PROCESSED.

Number of Parents/Guardians

Relationship to Participant(s)

Primary Language at Home (Required)

Is another language being acquired or learned at home?

Number in Household (Required)

Number in Family

Gross Annual Income

Is your family receiving cash benefits or other services under the Temporary Assistance for Needy Families (TANF) program?

Is your family receiving Supplemental Security Income (SSI)?

Is your family receiving services from WIC?

Is your family receiving services under the Supplemental Nutrition Assistance Program (SNAP), formerly referred to as Food Stamps?

Is at least one parent/guardian an active duty member of the United States military?

Is at least one parent/guardian a veteran of the United States military?

Add Emergency Contact

PLEASE COMPLETE ALL SECTIONS AND QUESTIONS. IF ANYTHING IS NOT COMPLETED OR LEFT BLANK, YOUR APPLICATION IS NOT COMPLETE AND CANNOT BE PROCESSED.

First Name (Required)

Middle Name

Last Name (Required)

Suffix

Nickname

Birthday (Required)

Gender (Required)

Race (Required)

Hispanic

English Proficiency

Other Language

Other Language Proficiency

Medicaid Eligibility

Doctor/Medical Home

Dentist/Dental Home

Does your child have a disability or do you have any concerns about your child's development? (Required)

Is there anything else you want to tell us about your child?

Which program are you applying for? (Required)

Location Preference

1st Location Preference

2nd Location Preference

3rd Location Preference

- Your Address - Available Locations

Click a location on the map to see more info

Click here to find a provider in your area.

Do you want to apply now for another child in your family?

Add Another Applicant

Are there other children in the family?

Add a Sibling

Please allow two to four weeks for processing your application. Once your application is processed, you will receive a letter regarding eligibility.

Information on this application is confidential. Your child’s pre-kindergarten program will not discriminate against any family on the basis of race, color, national origin, sex (including sexual orientation or sexual identity), disability, age, religion, height, weight, marital or family status, military status, ancestry, genetic information or any other legally protected category.

I certify that the information, including income, provided in this application is accurate and truthful to the best of my knowledge. I understand that it is my responsibility to inform my child's pre-kindergarten program if I move, or if I have any other changes in circumstances that could affect my child's enrollment or placement. I understand that by participating in the pre-kindergarten program, my child's learning and development will be assessed and monitored to support further growth; and that some results may be reported as scores and combined with other children's scores for future research related to the general level of impact of kindergarten readiness across the county.
I understand that this information will be entered into a confidential central database system that may be accessed by Kalamazoo RESA Head Start, Great Start Readiness Programs and Kalamazoo County Ready 4s in an effort to correctly place my child into a Kalamazoo County Pre-K Program and effectively analyze Kalamazoo County services to families and children.

By clicking Save and Continue, you are signing this application and giving consent to disclose the information on this application to the listed entities and obtain any relevant information from them.

Required information is missing, see above.

Parent/Guardian

Address

Additional Parent/Guardian

Other Adults

Family Information

Emergency Contacts

Child (Applicant)

Location Preferences

Additional Applicant

Siblings