SPS Pre-K Screener Application 2023-24 Academic Year   

Thank you for your interest in the SPS Pre-K program. Please note this program is contingent on the SPS budget as well as the State Department of Education for funding.  Priority is given to students who meet the following requirements:

1. Priority given to No previous pre-k experience, Mandatory Play Group meeting                        

2. 60% of students’ families must be at or below 75% of the state median income

3. Program is for Stamford residents only

4. Completion of Free/Reduced Lunch Documentation

5. Income Verification

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Today's Date  *
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Child's Name (First & Last)  *
Child's Date of Birth  *
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Gender *
Child's Dominant Language  *
Is your child FULLY toilet trained?  *
Is your child currently or has your child attended preschool?  *
If yes, please write the preschool name and address where your child attended
Parent/ Legal Guardian's Name  *
Address *
Zip Code *
Home Phone # *
Cell Phone # *
Email Address *
Has your child participated in Birth to 3?  *
If yes, do they continue to receive services from Birth to 3? 
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Does your child receive any special services? (IEP, Occupational Therapy, Speech, Physical Therapy)  *
If yes, please specify what special services your child receives  
Do you have any concerns about your child? 
What school are you districted for Kindergarten?  *
Income Verification 
To determine your tuition fees, we need the following information 
What is your annual household income?  *
What is the total # of people living in your household? (Adults and Children)  *
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