Apply Online

PLEASE READ THE FOLLOWING INSTRUCTIONS BEFORE SUBMITTING AN APPLICATION

To process your application and keep you updated of your status, an email address is required to complete the online application. There are many free choices available - our favorite is Gmail.

¿Habla español? Ir a la versión en español @ bit.ly/AplicarAEL.

To enroll in the Jonesboro Pre-K Partnership Program, please visit 1307 Flint St, Jonesboro, AR 72401 or call (870) 253-1674.

To apply for enrollment:

1) Complete the fields on the below Enrollment Application Form.
2) After entering the information, click the "I'm not a robot" reCaptcha verification box.
3) Click the "Submit Application" button at the bottom of the page to submit your application.
4) For pregnant mothers, use "Unborn Child" as the child's name and provide us an estimated birth date.

NOTE: If you have previously submitted an application, call our Enrollment Team at (870)931-1172 x 4 to add another child to your application. DO NOT submit an additional application, please. Thank you.

Parent/Guardian

Please complete the below information about the primary adult in your family.

First Name (Required)

Last Name (Required)

Birthday (Required)

Gender

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

Hispanic

English Proficiency

Other Language

Other Language Proficiency

Highest Grade Completed

Employment Status

Child's Relationship

Custody

Lives with Family

Provides Financial Support

Teen Parent

Address

Please complete the below information about your current address.

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

Additional Parent/Guardian

Please complete the below information about the secondary adult in your family.

Is there another parent/guardian in the family?

First Name (Required)

Last Name (Required)

Birthday (Required)

Gender

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

Other Language Proficiency

Highest Grade Completed

Employment Status

Child's Relationship

Custody

Lives with Family

Provides Financial Support

Teen Parent

Other Adults

Are there other adults in the household?
Add Another Adult

Family Information

Please complete the below information about your family.

Number of Parents/Guardians

Relationship to Participant(s)

Primary Language at Home

Number in Household

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?

WIC ID (if applicable)

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?

Child (Applicant)

Please complete the below information about your child you would like to enroll in our program.

First Name (Required)

Middle Name

Last Name (Required)

Suffix

Birthday (Required)

Gender

Race

Hispanic

English Proficiency

Other Language

Other Language Proficiency

Primary Health Coverage

Other Coverage

Insurance Number

Medicaid Eligibility

Medicaid Number

Doctor/Medical Home

Dental Coverage

Dental Coverage Number

Dentist/Dental Home

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

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

Location Preferences

Which program are you applying for? (Required)

2023-2024 School Year - EHS

Free childcare for children 6w to 35m

2024-2025 School Year - HS/Pre-K

Free preschool for children ages 3 to 5 years

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.

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 submitting your enrollment application. What Happens Next?
Please have the following documentation ready:

Proof of birth

Proof of income ( W-2, SSI, Social Security, or 2 recent check stubs)

Proof of residence ( Lease or Utility Bill)

Please make sure you keep your interview appointment (in person or telephone). Federal regulations require this interview.

Call your preferred Center and speak with the Family Services Worker if you need to check the status of your application.

Things to Keep in Mind:

Applicants are responsible to keep us updated if your contact information changes. We also rely on you to respond to our efforts to reach you. We will generally make 3 attempts to contact you and may need to move to the next applicant if we do not receive a response.

Completing the enrollment questionnaire does not guarantee eligibility or an enrollment into our programs. Enrollment is based on slot availability and filled according to greatest need.

Our offices are open Monday-Friday from 8:00am - 4:45pm. Please call us at (800) 499-9391 if you have any questions.

Required information is missing, see above.