3 Year Old UPK Information Sheet

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

Students who are three years old on or before 10/01/2024 must meet at least two of the following UPK qualifying-factors . The low income criteria must me met to qualify for funding. Proof of income must be submitted. Proof of income can be sent to villageregistrar@lps.k12.co.us

Email *

Full Address

Child Full Name

Child's DOB

YYYY

Parent First and Last Name

How many people are in your household? *

More than 9

Please specify the range within which your annual household income falls. * *

$ 0.00-$30,000.00

$30,000.01-$81,000.00

$81,000.01 or more

Is the child listed above currently in the custody of a state supervised and county administered foster care home or in non-certified kinship care? *
*

Yes, this child is in foster care on a non-parental kinship

No, this child is not in foster care or non-parental kinship

Is your child multi-lingual, meaning your child is currently learning a second language while continuing to develop English proficiency? * *

Yes, my child is multi-lingual, learning a second language and developing English proficiency

No, my child is only developing English proficiency

At home, which is the primary language spoken at home for this child? *

Arabic

Amharic

Chinese

French

German

Korean

Russian

Spanish

Somali

Taqalog

Vietnamese

Other

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of Lps.k12.co.us. Report Abuse

Forms