Get 2019 Pa Pre-k Counts Enrollment Form - Jsasd.org

This guide provides clear and supportive instructions for users on how to complete the 2019 PA Pre-K Counts Enrollment Form effectively and accurately. Filling out this form is a vital step in enrolling your child in a pre-kindergarten program and ensuring that all necessary information is submitted appropriately.

Follow the steps to complete the enrollment form online:

1. Press the ‘Get Form’ button to access the enrollment form. This will allow you to open the document in your online editor.
2. Begin by entering the date when the form is completed in the designated section, using the MM/DD format.
3. Fill in the child's last name, first name, and middle initial in the appropriate fields.
4. Complete the child's residential information by providing their street address, county, city, and zip code.
5. Indicate the child's date of birth and age in the specified fields, as well as their gender by selecting either 'Male' or 'Female'.
6. Optionally, select the race and ethnicity of the child from the provided list, along with their primary language.
7. Enter the legal guardian's last and first name, and select their gender, then choose the relationship to the child from the list provided.
8. Indicate the role of the guardian, whether primary, legal, secondary, or other.
9. Fill out the household/family size by checking the appropriate box, indicating how many individuals reside in the household.
10. Provide the household income by selecting the correct income range from the options given.
11. Complete the section regarding the actual annual verified gross household income, and remember to attach the necessary income verification documents.
12. Sign and date the form in the provided fields for both the parent/guardian and the staff person if applicable.
13. Check any additional eligibility risk factor criteria that apply to the child, as listed in the form.
14. Review all entered information for accuracy, and make any necessary corrections.
15. Save the completed form, and choose to download, print, or share it as needed.

Take action now and complete your enrollment form online to secure your child's place in the program.