Welcome to the 2025-2026 Chesterfield County Public Schools PreK Application. Students must be 4 years old by September 30, 2025 in order to be considered. This is the first step in the application process so please answer all questions as accurately as possible. At the end of this application, you will be asked to upload the child's birth certificate and your income documentation. We must have all income information, including: All 2024 W2s for all employment (PREFERABLE), 2024 1040 tax forms (PREFERABLE), or two most recent check stubs with different dates; TANF verification, SNAP (front and back of the page), SSI, or SSA documents; A letter from your employer indicating period of employment and salary; Court ordered documents regarding child support, if applicable; and/or unemployment documentation. We will not process the application until we receive all this information. You will receive an email link to upload documents and we ask that you check your email regularly for correspondence from our office. If you do not have access to upload your documents electronically, we will make arrangements for you to hand-deliver your documents. In order to process the application, you must provide information for all questions asked. Not answering all questions could cause a delay in determining the family's status for the program. Please note that this is NOT a first come, first served process, and you must meet eligibility requirements to be considered for the program. All complete applications will be processed for eligibility. If you would like more information on early care and education providers in your area, please visit https://www.dss.virginia.gov/cc/index.html where you can search for more information within the county.
Parent/Guardian
Only parents and legal guardians may apply for publicly funded PreK programs and must have custody of the child. The adult's name must appear on the birth certificate or have a court-ordered custody document with his/her name and the child's name.
First Name (Required)
Middle Name
Last Name (Required)
Suffix
Nickname
Birthday (Required)
Gender (Required)
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 (Required)
American Indian or Alaska Native
Asian
Black or African American
Multi-racial/Biracial
Native Hawaiian/Other Pacific Islander
Other
Unspecified
White
Hispanic (Required)
Yes
No
Lives with Family (Required)
Yes
No
English Proficiency (Required)
Little
Moderate
None
Proficient
Other Language
American Sign Language
Arabic
Burmese
Cambodian
Cantonese
English
French
Mandarin
Other
Portugese
Spanish
Spanish
Vietnamese
Other Language Proficiency
Little
Moderate
None
Proficient
Highest Grade Completed (Required)
6th-8th grade
Associate's Degree
Bachelor's Degree
College Degree/Training Cert.
College or Advance Training
General Education Diploma
Grade 10
Grade 11
Grade 12
Grade 9 or less
High School Graduate
K-5th grade
Master's Degree
Employment Status (Required)
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 (Required)
Biological/Adopted/Step
Foster
Grandchild
Other
Other Relative
Custody (Required)
Yes
No
Provides Financial Support (Required)
Yes
No
Teen Parent (Required)
Yes
No
If Teen Parent, Subsidized?
Yes
No
Address
Please complete this section using the address where you currently reside. You will need to prove residency by uploading one of the following and showing this to the school when you register: - lease for at least one year or deed of a residence in Chesterfield County - contract or lease free of contingencies to occupy a Chesterfield residence within two months of the date of enrollment - resident manager’s letter on company letterhead stating that residence is a corporate residence in Chesterfield - weekly receipts for temporary residence in a hotel or motel for up to 60 days (requires renewal or evidence of more permanent residency within 60 days of enrollment) - Parents submitting a “lives with” form when registering must bring the person they live with. That person must provide proof of county residency, and the parent of the incoming student must provide two supporting documents with their name and correct 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
The Secondary Adult must live with and/or have custody of the student.
Is there another parent/guardian in the family?
Yes
No
First Name (Required)
Middle Name
Last Name (Required)
Birthday (Required)
Gender (Required)
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 (Required)
American Indian or Alaska Native
Asian
Black or African American
Multi-racial/Biracial
Native Hawaiian/Other Pacific Islander
Other
Unspecified
White
Hispanic (Required)
Yes
No
Lives with Family (Required)
Yes
No
English Proficiency (Required)
Little
Moderate
None
Proficient
Other Language
American Sign Language
Arabic
Burmese
Cambodian
Cantonese
English
French
Mandarin
Other
Portugese
Spanish
Spanish
Vietnamese
Other Language Proficiency
Little
Moderate
None
Proficient
Highest Grade Completed (Required)
6th-8th grade
Associate's Degree
Bachelor's Degree
College Degree/Training Cert.
College or Advance Training
General Education Diploma
Grade 10
Grade 11
Grade 12
Grade 9 or less
High School Graduate
K-5th grade
Master's Degree
Employment Status (Required)
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 (Required)
Biological/Adopted/Step
Foster
Grandchild
Other
Other Relative
Custody (Required)
Yes
No
Provides Financial Support (Required)
Yes
No
Teen Parent (Required)
Yes
No
Family Information
Please complete ALL of the questions in this section to assist in the application process. When looking at family and household, please enter the information as discussed below: Household: Total number of people living in the house/apartment. Family: All persons living in the same household who are supported by the child's parent(s)' or guardian(s)' income; and are related to the child's (parent) or guardian(s) by blood, marriage, or adoption; or are the child's authorized care giver or legally responsible party.
Number of Parents/Guardians (Required)
One Parent Family
Two Parent Family
Relationship to Participant(s) (Required)
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 (Required)
American Sign Language
Arabic
Burmese
Cambodian
Cantonese
English
French
Mandarin
Other
Portugese
Spanish
Spanish
Vietnamese
Is another language being acquired or learned at home?
Yes
No
Number in Household (Required)
Number in Family (Required)
Gross Annual Income (Required)
Is your family receiving cash benefits or other services under the Temporary Assistance for Needy Families (TANF) program? (Required)
Yes
No
Is your family receiving Supplemental Security Income (SSI)? (Required)
Yes
No
Is your family receiving services from WIC? (Required)
Yes
No
WIC ID (if applicable)
Is your family receiving services under the Supplemental Nutrition Assistance Program (SNAP), formerly referred to as Food Stamps? (Required)
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 all of the questions in this section. This information is about your PreK aged child.
First Name (Required)
Middle Name
Last Name (Required)
Suffix
Nickname
Birthday (Required)
Gender (Required)
Female
Male
Race (Required)
American Indian or Alaska Native
Asian
Black or African American
Multi-racial/Biracial
Native Hawaiian/Other Pacific Islander
Other
Unspecified
White
Hispanic (Required)
Yes
No
English Proficiency (Required)
Little
Moderate
None
Proficient
Other Language
American Sign Language
Arabic
Burmese
Cambodian
Cantonese
English
French
Mandarin
Other
Portugese
Spanish
Spanish
Vietnamese
Other Language Proficiency
Little
Moderate
None
Proficient
Primary Health Coverage (Required)
Children's Health Insurance Program (CHIP)
Combined Medicaid/CHIP
Medicaid
No Insurance
Other
Private Health Insurance
State-Only Funded Insurance
Other Coverage
Children's Health Insurance Program (CHIP)
Combined Medicaid/CHIP
Medicaid
No Insurance
Other
Private Health Insurance
State-Only Funded Insurance
Insurance Number
Medicaid Eligibility (Required)
Not Eligible
On Medicaid
Potentially Eligible
Medicaid Number
Doctor/Medical Home
Adolescent & Pediatric Health P
Bon Secour Care-A-Van
Bon Secour Family Practice
Bon Secour Laburnum Medical CTR
Bon Secour Pediatrics Richmond
Bon Seocur Pediatrics Of Mechan.
Brandermill Ped/Adolescent
Briggs Rd Family Medicine
Caldwell Pediatrics and Wellness
Capitol Pediatrics
Care A Van
Chester Pediatrics
Chesterfield Dept of Health
Chesterfield Family Practice CTR
Chesterfield Pediatrics
Children & Adolescents Clinic
Children's Clinic/ Frederickburg
Children's Hospital of Richmond
Chippenham Pediatric and Adolesc
Colonial Heights Pediatrics
Commonwealth Pediatrics
Crossbridge Pediatrics and Inter
Crossover Ministry
CVS Pharmacy/Minute Clinic
Daily Planet Health Services
Dominion Pediatrics
Dr A Rose
Dr A Tuohy
Dr C Goodall- Vernon J Harris MC
Dr C. Boone
Dr Charuwan Siri
Dr J Mason
Dr K Bowers
Dr K Tilghman
Dr Meyer and Lovings
Dr Philip Valmores
Dr. Carolyn Boone
Dr. Lori Mitchell
Dr. Sandra Bell
Dr. V Licen
Drs Richard Or Lillie Bennette
Drs. Mayes And Lovings
Happy Kidz Pediatrics
Hayes E Willis Cliniw
Henrico Pediatrics
Huguenot Pediatrics
Infant Jesus Children's Clinic
Ironbridge Family Practice
James River Pediatrics
Kenner Army Health Clinic
Little Clinic of VA
Manchester Pediatric Assoc
Monuement Ave Pediatrics
Newport News Pediatrics
Northside Medical Clinic
Old Dominion Pediatrics
Patient First
Patterson Ave Family Practice
Pediatric Associates
Pediatric Associates
Pediatric Center- Laburnum
Pediatric Grp Practice Children
Pediatric Partnership
Pediatric Practice- Children's P
Pediatric Primary Care
Pediatric&Adolescent Medicine
Pediatrics of Richmond
Peds First Healthcare
Powhatan Medicine Assoc
Primary Health Group
Prime Care Family Practice
Richond Pediatrics Assoc
Riverbend Enon Pediatrics
RVA Pediatrics
Sentara Pediatrics Physicians
South HIll Family Medicine
Southside Pediatric Center
St Francis Family Medicine
Swift Creek Pediatrics
The Little clinic
The Pediatrc Center-John Rolfe
thomas Met
VCU Hayes E Willis Health Center
Vernon J Harris community Health
Virginia Eye Institure
Virginia Pediatrics PC
VitalCare Family Practice
Wilkerson Clinic
Yu Pediatrics
Dental Coverage (Required)
Children's Health Insurance Program (CHIP)
Combined Medicaid/CHIP
Medicaid
No Insurance
Other
Private Health Insurance
State-Only Funded Insurance
Dental Coverage Number
Dentist/Dental Home
Bitty Bites Pediatric Dentistry
Bon Secour Pediatric Dental
Cardinal Pediatric Dentistry
Children's Dentistry of VA
Children's Hosp Of Richmond
Colliseum Ped Dentistry
Commonwealth Pediatric Dental Sp
D &D Dentistry
Dentistry fo Children
Dr A Al Najjar
Dr Brandon ALLen
Dr Brian Burke
Dr G Verkey
Dr Jarvandi
Dr R. Byrd And Associates
Dr Sandra J Smith Family Dentist
Dr Sury Bhavaraju
Dr Susan Sheffield
Dr. Martin Oakes
Dr. Michael Davis
Dr. Sandra Smith
Dt T. Schleicher
Family Dental of Va
Family Dentistry of Short Pump
Happy Smiles
Haselman & Hunt Family Dentistry
Heavenly Hands
Hopewell Family Dentistry
Ideal Debtal Care
Jeffrey D Maurer
John Flowers
Just 4 Kids
Kiddie Cavity Care
Kool Smiles
Lutz Medicine
Midlothian Children's Dentistry
Murry and Kuhn Dentistry
Pediatric Dentistry&Orthodontic
RA Dentla Care PLLC
Randazoo Dentistry
Richmond Pediatric Dentistry& Or
Richmond Smiles Center
River Run Dental
Robious Crossing Ped Dent
RVA Children's Dentistry
RVA Pediatric Dentistry
Smile 32
South River Dentistry
Southside Dental
Southside Smiles Dentistry
Sparkle Dentistry
Spencer Dental & Braces
ToothBeary Peds
Tuckahoe Family Dentisry
United Smiles
VCU Dental Care Children's Pav
VCU Pediatric Dentistry
Virginia Family Dentistry
Wood, Lombardozzi, Dunlevy
Does your child have a disability or do you have any concerns about your child's development? (Required)
Yes
No
Is there anything else you want to tell us about your child?
Complete a simple puzzle (Required)
Yes
No
Concerns from the doctor? (Required)
Yes
No
Count to 10 (Required)
Yes
No
Dress himself/herself (Required)
Yes
No
Fall asleep easily (Required)
Yes
No
Feed self with spoon (Required)
Yes
No
Finish tasks when asked (Required)
Yes
No
Follow 2-step directions (Required)
Yes
No
Get upset easily (Required)
Yes
No
Identify 4 shapes (Required)
Yes
No
Listen to an entire story (Required)
Yes
No
Name 5 colors correctly (Required)
Yes
No
Play make believe (Required)
Yes
No
Proper grasp of crayons (Required)
Yes
No
Say he/she is a boy/girl (Required)
Yes
No
Share with other children (Required)
Yes
No
Speak 4-6 word sentences (Required)
Yes
No
State age (Required)
Yes
No
State first name (Required)
Yes
No
State last name (Required)
Yes
No
Tend to be shy (Required)
Yes
No
Throw a ball overhead (Required)
Yes
No
Throw or hit when upset (Required)
Yes
No
Understand danger (Required)
Yes
No
Use scissors correctly (Required)
Yes
No
Zip or button coat (Required)
Yes
No
Location Preferences
Which program are you applying for? (Required)
PreK Application 25/26 School Year
Location Preference
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1st Location Preference
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2nd Location Preference
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3rd Location Preference
<p></p>
- 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
Thank you for taking the time to apply to the Chesterfield County Public Schools PreK Program and completing the first step of the application process. By clicking the button below, you are certifying that the information you provided is complete and accurate. Again, your application will not be processed or considered until you have uploaded all household income documentation and the birth certificate. We must have all income information, including: All 2024 W2s for all employment (PREFERABLE), 2024 1040 tax forms (PREFERABLE), or two most recent check stubs with different dates; TANF verification, SNAP (front and back of the page), SSI, or SSA documents; A letter from your employer indicating period of employment and salary; Court ordered documents regarding child support, if applicable; and/or unemployment documentation. The PreK Office will contact you via telephone or email to set up the next step in the application process. Una carta de su empleador que indique el período de empleo y el salario; Documentos ordenados por la corte sobre la manutención de los hijos, si corresponde; y/o documentación de desempleo. La Oficina PreK se comunicará con usted por teléfono o correo electrónico para programar el siguiente paso en el proceso de solicitud.
Required information is missing, see above.