21-22 Preschool Application - Basehor-Linwood Early Learning Center

Application for 2021-2022 Basehor-Linwood Preschool Program

We are excited to start the application process to be considered for enrollment for our Early Learning Center for the 21-22 school year! Any family with children that will be 4 by August 31, 2021 residing within the Basehor-Linwood School District boundaries can apply for preschool for our 2021-2022 school year which will begin on our first day of school, August 19, 2021. We will also be accepting applications for students who will be 3 by August 31, 2021. The three year old program will be provided if space and resources are available.

Basehor-Linwood Early Learning Center Program Facts:
- 1/2 day, 5 days a week (Program follows the district calendar minus 1 Friday a month for early learning screenings)
- Morning Session - 8:15 - 11:00 (3 year old children will be prioritized for morning session)
- Afternoon Session - 12:30 - 3:15
-Evidence-Based and Developmentally Appropriate Instruction
- Inclusive classrooms
- Sensory Room
- Parents must be able to provide transportation to and from the building
- Updated immunizations, proof of residency and birth certificate must be on file before the 1st day of school

Pricing
- $250/month
- Waived fees for those eligible for the Kansas Preschool Aged At-Risk Program
- Enrollment fee of $60

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* 1. Child Information

Child's First Name

Child's Last Name

Gender

Date of Birth

Child's Age - As of August 31, 2021 (next school year)

Child's Address

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* 2. Parent Information

Mother's First & Last Name

Mother's Phone Number

Mother's Email Address

Mother's Address (If different from child's)

Father's Name

Father's Phone Number

Father's Email Address

Father's Address (if different from mother's)

Do you have additional children that currently attend the Early Learning Center?

If you have a child attending the ELC will they continue next year?

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* 3. Please indicate if your child has or is currently attending childcare/preschool and the location:

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* 4. Does your family currently participate in Parents as Teachers?

Yes

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* 5. Does your child receive services through Leavenworth County Tiny-K (Part C Services):

Yes

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* 6. The following information helps identify if the child is eligible to attend the program as a part of the Kansas Preschool Aged At-Risk Program:
(If you have questions regarding the criteria below, please contact Jillian Porter, Early Learning Coordinator at jporter@usd458.org)

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* 7. Does your family qualify for free meals under the National School Lunch Program:

Yes

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* 8. Does your family qualify for reduced meals under the National School Lunch Program:

Yes

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* 9. One of the child’s custodial parents is unmarried:

Yes

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* 10. At least one parent was a teenager when the child was born:

Yes

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* 11. At least one parent lacks a high school diploma or GED:

Yes

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* 12. The primary language spoken in the home is English:

Yes

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* 13. Are you concerned about your child’s developmental progress:

Yes

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* 14. We will be prioritizing 3-Year-Olds for our morning sessions next year. However, please indicate your preference for morning or afternoon session for our consideration:

A.M. - 8:15 - 11:00

P.M. - 12:30 - 3:15

Either

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* 15. Please provide any additional information here:

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* 16. Please type your full name to validate the information provided is accurate and serves as your electronic signature for application to the ELC. **Parents will be required to sign an Emergency/Medical Authorization before services will start.

21-22 Preschool Application - Basehor-Linwood Early Learning Center

Application for 2021-2022 Basehor-Linwood Preschool Program

Question Title

* 1. Child Information

Question Title

* 2. Parent Information

Question Title

* 3. Please indicate if your child has or is currently attending childcare/preschool and the location:

Question Title

* 4. Does your family currently participate in Parents as Teachers?

Question Title

* 5. Does your child receive services through Leavenworth County Tiny-K (Part C Services):

Question Title

* 6. The following information helps identify if the child is eligible to attend the program as a part of the Kansas Preschool Aged At-Risk Program:(If you have questions regarding the criteria below, please contact Jillian Porter, Early Learning Coordinator at jporter@usd458.org)

Question Title

* 7. Does your family qualify for free meals under the National School Lunch Program:

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* 8. Does your family qualify for reduced meals under the National School Lunch Program:

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* 9. One of the child’s custodial parents is unmarried:

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* 10. At least one parent was a teenager when the child was born:

Question Title

* 11. At least one parent lacks a high school diploma or GED:

Question Title

* 12. The primary language spoken in the home is English:

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* 13. Are you concerned about your child’s developmental progress:

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* 14. We will be prioritizing 3-Year-Olds for our morning sessions next year. However, please indicate your preference for morning or afternoon session for our consideration:

Question Title

* 15. Please provide any additional information here:

Question Title

* 16. Please type your full name to validate the information provided is accurate and serves as your electronic signature for application to the ELC. **Parents will be required to sign an Emergency/Medical Authorization before services will start.

* 6. The following information helps identify if the child is eligible to attend the program as a part of the Kansas Preschool Aged At-Risk Program:
(If you have questions regarding the criteria below, please contact Jillian Porter, Early Learning Coordinator at jporter@usd458.org)