Willmar 22-23 Preschool Questionnaire

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Families,

PLEASE READ!

Preschool registration for the 22-23 school year opens on Monday, April 18, at 7:30 am. (Do not submit prior to this or it will be invalid)

Submitting this form will hold your spot while you mail in the rest of the materials. Be sure to select a first and second choice. This form will be time stamped so we can place children in the order they are received.

Once you submit this form, download and print the paper application here:

https://www.willmar.k12.mn.us/Page/6242. Follow the instructions as listed.

Once we receive your paper application and other registration materials, we will contact you regarding your registration status. The questionnaire alone does not guarantee placement.

3 year old children - Willmar Public Schools has received Pathway II Early Learning Scholarships that are available to families who qualify, based on the 22-23 Application for Educational Benefits form that will be sent to all families. Tuition amounts are listed below. Children must be 3 years old on or before September 1, 2022.

4 year old children - This year Willmar Public Schools was awarded VPK (Voluntary PreKindergarten) funds along with Pathway II Scholarships. If your child is 4 by September 1, 2022, and NOT eligible for kindergarten, you will have no charge for preschool. If your child is age-eligible for kindergarten but you choose to keep them in preschool, the cost is listed below.

If you have questions, please email Lori Boros, Early Childhood Secretary - borosl@willmar.k12.mn.us

Email *

Student First Name *

Student Middle Name (type in "None" if student doesn't have a middle name) *

Student Last Name *

Student Date of Birth *

YYYY

Parent Name (First, Middle, Last) *

Parent Phone # *

Child's Primary Home Address *

Elementary School Boundary - if known *

Kennedy

Lakeland

Roosevelt

Unsure

First Choice: 4-Year Old (on or before 9/1/22)

Second Choice: 4-Year Old (on or before 9/1/22)

First Choice 3-Year Old (on or before 9/1/22)

Second Choice 3-Year Old (on or before 9/1/22)

Please check all that apply *

English Language Learner

IEP

No Preschool Experience

Single Parent Household

Qualify for free/reduced Lunch

Medical Needs

Family Receives Public Assistance

Family Stress (divorce, death, job)

Homelessness

None of the above

Other:

Required

I understand that the email confirmation of my submission does not guarantee my child's placement. *

Yes

Is it after 7:30 am on Monday, April 18? *

Yes

No - your application will not be valid. Please submit after 7:30 on Monday, April 18

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

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