Rochester Community Schools Pre-K GSRP 2021-2022 Pre-Eligibility Application

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Thank you for your interest in Rochester Community Schools (RCS) Great Start Readiness Program (GSRP). The Great Start Readiness Program (GSRP) is Michigan's state-funded preschool program for four-year-old children whose families meet eligibility guidelines.

Please complete the following form to determine if your child is eligible for the program the 2021-2022 school year.

Child must be four years old on or before 12/1/2021.

Applications for children who will turn 4 years old between 9/1/21 and 12/1/21 MAY NOT be considered for enrollment until September 1st or later.

Please note this will take about 30 minutes to fill out.

Program Eligibility Factors can be found at the following website: https://www.michigan.gov/documents/mde/Risk_Factor_Definitions_408472_7.pdf

Income Eligibility Guidelines for the 2021-2022 school year can be found at the following website: https://drive.google.com/file/d/1EzRFBUbflXjbB-fmk3F8B-pA9dt-xcc4/view?usp=sharing

If you have any questions, please email the Preschool Programs office at prek@rochester.k12.mi.us.

Email *

Child's Legal Name *

First and Last

Name you want used at school: *

Nickname

Child's Birth date *

YYYY

Child's Gender *

Male

Female

Is child Hispanic/Latino? *

Yes

Please select race (check all that apply): *

American Indian / Alaskan Native

Asian

Black / African American

White / Caucasian

Native American / Pacific Islander

Required

Has child participated in Early On? *

Yes

Has child participated in Head Start? *

Yes

Clear form

Never submit passwords through Google Forms.

This form was created inside of Rochester Community Schools. Report Abuse

Forms