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Welcome to the 2024-2025 Chesterfield County Public Schools PreK Application. Students must be 4 years old by September 30, 2024 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 2023 W2s for all employment (PREFERABLE), 2023 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.

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)

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

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)

Hispanic (Required)

English Proficiency (Required)

Other Language

Other Language Proficiency

Highest Grade Completed (Required)

Employment Status (Required)

Child's Relationship (Required)

Custody (Required)

Lives with Family (Required)

Provides Financial Support (Required)

Teen Parent (Required)

If Teen Parent, Subsidized?

Please complete this section using the address where you currently reside.

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

The Secondary Adult must live with and/or have custody of the student.

Is there another parent/guardian in the family?

First Name (Required)

Middle Name

Last Name (Required)

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

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 (Required)

Hispanic (Required)

English Proficiency (Required)

Other Language

Other Language Proficiency

Highest Grade Completed (Required)

Employment Status (Required)

Child's Relationship (Required)

Custody (Required)

Lives with Family (Required)

Provides Financial Support (Required)

Teen Parent (Required)

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)

Relationship to Participant(s) (Required)

Primary Language at Home (Required)

Is another language being acquired or learned at home?

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)

Is your family receiving Supplemental Security Income (SSI)? (Required)

Is your family receiving services from WIC? (Required)

WIC ID (if applicable)

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

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?

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)

Race (Required)

Hispanic (Required)

English Proficiency (Required)

Other Language

Other Language Proficiency

Primary Health Coverage (Required)

Other Coverage

Insurance Number

Medicaid Eligibility (Required)

Medicaid Number

Doctor/Medical Home

Dental Coverage (Required)

Dental Coverage Number

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?

Complete a simple puzzle (Required)

Concerns from the doctor? (Required)

Count to 10 (Required)

Dress himself/herself (Required)

Fall asleep easily (Required)

Feed self with spoon (Required)

Finish tasks when asked (Required)

Follow 2-step directions (Required)

Get upset easily (Required)

Identify 4 shapes (Required)

Listen to an entire story (Required)

Name 5 colors correctly (Required)

Play make believe (Required)

Proper grasp of crayons (Required)

Say he/she is a boy/girl (Required)

Share with other children (Required)

Speak 4-6 word sentences (Required)

State age (Required)

State first name (Required)

State last name (Required)

Tend to be shy (Required)

Throw a ball overhead (Required)

Throw or hit when upset (Required)

Understand danger (Required)

Use scissors correctly (Required)

Zip or button coat (Required)

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

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 2023 W2s for all employment (PREFERABLE), 2023 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.

Required information is missing, see above.

Parent/Guardian

Address

Additional Parent/Guardian

Family Information

Child (Applicant)

Location Preferences

Additional Applicant

Siblings