Preschool Advantage - Online Application Final

Preschool Advantage Inc.

25 Lindsley Drive, Suite 307

Morristown, New Jersey 07960

Telephone: 973-532-2501 Fax: 973-455-7815

program@preschooladvantage.org

Preschool Advantage opens the door to preschool and unlocks the possibilities beyond.

Preschool Advantage pays tuition for a half-day of preschool for 3 and 4 year-old children, for families who cannot afford preschool. Most of our families earn less than $80,000 per year, but we consider each family individually.

We partner with 27 preschools in Morris and Somerset Counties. Each school typically reserves 2 - 8 spaces for children funded by Preschool Advantage. A list of our partner schools can be found on our website.

Applications are accepted beginning in February. Please submit your application as early as possible to increase your chances of placement at your first-choice school.

After your application is reviewed the office will schedule a time to meet with you to learn more about each other and answer any questions you might have.

All information shared with Preschool Advantage is kept confidential and is never shared with other organizations.

Please call or email the Preschool Advantage office at any time with questions regarding the application process.

Child's Information
Child's Full Name *
Gender *
Date of Birth (month/day/year) *

Month Day Year
Date
Age by October 1, 2022 *
*Your child must be 3 years old by October 1st of the coming school year in order to qualify for the program.
Child's Address *

Street Address

Apartment number (if applicable)

City/Town State / Province

Postal / Zip Code
Who does your child live with? *
If other, please specify
Does the child have siblings? *

Have any other members of your family received assistance from Preschool Advantage or Project Acorn?
If yes, please list names and years.
Does anyone else live in the child's household? (e.g. grandparent(s), aunt, uncle, etc.) *
Has your child attended preschool or childcare before? *
School/Facility
Dates attended (month/year - month/year)
Number of days per week
Number of hours per day
What was the monthly tuition cost?
Do you/did you receive preschool tuition assistance?
How much tuition assistance did you receive monthly?
If Preschool Advantage is unable to fund your child, what other options do you have to help your child prepare for kindergarten? *
Does your child have any health issues, any handicap, developmental delay, or disability? *
If Yes, please explain
Has he or she received or been recommended for early intervention? *
If Yes, please explain

Parent/Guardian #1 Information
Name *
Address (if different from child's)
Cell phone *
Email *
example@example.com
Preferred method of contact? *
Relationship to Child *
Language spoken at home *
If "Other", please specify language here
Would you like a translator when speaking with us? *
Highest level of education
Occupation *
(If unemployed, please type unemployed)
Employer (If unemployed please type unemployed) *
Work Address *
Length of time at this job *
Previous Occupation
Previous Employer
Previous Work Address

Parent/Guardian #2 Information
Name
Address (if different from child's)
Cell phone
Email
example@example.com
Preferred method of contact?
Relationship to Child
Language spoken at home
If "Other", please specify language here
Would you like a translator when speaking with us?
Highest level of education
Occupation
Employer (If unemployed please type unemployed)
Work Address
Length of time at this job
Previous Occupation
Previous Employer
Address

Additional Family Information
Demographic Information: Preschool Advantage is dedicated to providing tuition assistance to families of all backgrounds. This information is used for our statistical purposes only and will not be used in the evaluation of your application. Please select the race/ethnicity below that you identify as:
Demographic Information *
If other, please explain

Financial Information
To help us better understand your financial situation, please provide the documents listed below to Preschool Advantage. We will not share this information or these documents with any other organization or with anyone outside the Preschool Advantage organization.
- A copy of a completed and signed federal tax return (1040) for the current or last year.
- A copy of a current W-2 form for each parent/guardian
- A copy of a current pay stub for each parent/guardian
If there are no pay stubs, provide a letter from your employer, with hours worked and hourly wages. This letter must include contact information for the employer.

If you are self-employed, provide a copy of this year's and last year's completed and signed federal tax returns.
Complete and signed federal (1040) for the current or last year

Cancel of
Copy of a current W-2 form for each parent/guardian

Cancel of
Copy of a current pay stub for each parent/guardian

Cancel of
If no pay stub, provide a letter from your employer with hours worked and hourly wages. This letter must include contact information for the employer.

Cancel of
If you are self-employed, provide a copy of this year's and last year's completed and signed federal tax returns

Cancel of
Note: If you are unable to upload the financial documents online, they can be mailed or dropped off at the office.
Income:

Money coming to you before taxes.

Current income per month *

	Parent/Guardian #1	Parent/Guardian #2
Salary/Wages
Unemployment
Disability/Workers Comp
Social Secuity Benefits
TAND/Cash Assistance
Child Support
Alimony
Veterans Benefits
Retirement Pension
Other (Please Specify)

Note: The following information will not be used in calculating your income. It will not affect your chances of acceptance in our program.
Do you receive:
SNAP *
Housing Voucher *
Medicaid *
NJ Family Cares *
Have you applied for:
Child & Family Resource Voucher *
Status
NORWESCAP *
Status
Head Start *
Status
Public Preschool *
Status

Expenses

Money you spend each month (other than routine expenses like phone, credit card, food, utilities, transportation)

How much do you spend each month? *

	Parent/guardian #1	Parent/guardian #2
Rent/Mortgage payment
Student loans
Medical expenses
Child support
Other (explain)

If any of these need explanation or more details please share
Do you rent or own your home? *
If "Other", please explain
Does anyone other than you provide financial support for your child? *
Name
Relationship to Child
Amount received each month
Have there been any recent changes in your life that have affected your financial situation? *
Do you anticipate major changes in your financial circumstances in the coming year? *

School Information
The list of our partner preschools can be found on our website.

https://www.preschooladvantage.org/partner-preschool-directory/

Please look it over, review the schools' websites, and find some that look like a good fit for your family. We encourage you to list three school choices as space is limited at each school.
1st Choice *
2nd Choice
3rd Choice
Do you need a school that offers a full day program? *
Preschool Advantage pays for a half-day of school. If you need additional hours, you are responsible for arranging the payment. Partner schools that offer full day programs are noted on the school list. Please note school hours are subject to change.
How did you learn about Preschool Advantage? *

Parent/Guardian Agreement Form
Please read these Preschool Advantage conditions. If you agree to them, please sign at the bottom of the page.

1. Preschool Advantage pays tuition for a half-day of preschool for 3- and 4-year- olds from September to June. When your child reaches 5 years old or qualifies for public Pre-K or Kindergarten, he or she will no longer qualify for Preschool Advantage financial aid.

2. If your child is selected by another program for preschool tuition assistance, he or she is no longer eligible for aid from Preschool Advantage, and you must notify the Preschool Advantage office immediately.

3. If you choose to enroll your child for extended hours or a full-day program, you are responsible for paying for those additional hours of school.

4. You are responsible for getting your child to school every day.

5. You are expected to abide by the rules and regulations of the school your child attends.

6. We expect your child to attend school regularly, except for illness. If your child will be absent for more than two weeks at a time, please notify the Preschool Advantage office.

7. You must sign a disclaimer form releasing Preschool Advantage from any liability.

8. Upon acceptance by the Preschool Advantage program, you agree to pay a $75 registration fee to Preschool Advantage before your child begins school.

I understand and agree that failure to comply with these conditions may result in the removal of Preschool Advantage's financial aid for my child. I confirm that all the information included in this application is complete and accurate to the best of my knowledge. I understand that Preschool Advantage will withdraw or deny funding if any information is found to be misrepresented.
Parent/Guardian signature *

Clear
Date *

Month Day Year
Date

Disclaimer
Preschool Advantage is not a school.

Preschool Advantage is not affiliated with, has no contract with, has no ability to influence and is not an agent of any Partner Preschools.

Preschool Advantage makes no guarantee about the condition of the premises and facility of a school, or the qualifications and/or capabilities of teachers or school staff.

Preschool Advantage has no involvement in or responsibility for any third-party vendors hired by the preschools.

The decision to accept a child for a particular preschool program rests exclusively with the preschool, and the decision to place the child in that preschool is exclusively up to the parents and/or guardians of the child.

Preschool Advantage only provides tuition for the child, so is not responsible for any loss, damage or injury that may result from any action or inaction by the partner preschools, their officers, employees, agents, vendors and/or any other representatives, whether negligent, intentional or otherwise.

I understand and agree that failure to comply with the terms in this Disclaimer may result in removal of Preschool Advantage's funding.

I have read and agree with the terms in this Disclaimer.
Parent/Guardian Signature *

Clear
Date *

Month Day Year
Date

Letter of Support
Please ask someone who knows your child and is NOT a family member to complete the Letter of Support Form, which is located on our website. The Letter of Support Form can be found on the following link: https://form.jotform.com/220185636433050

The Letter of Support Form can be completed by your child's current teacher, baby sitter, care giver, therapist, social worker, clergy, doctor, or anyone else who knows your family and your child. Once that form is submitted, it will be attached to your application. If the Letter of Support Form is not submitted, your application may be considered incomplete.

Please supply the name and email of the person who will complete the form on your behalf.
Name
Email
example@example.com
*It may be helpful to copy (ctrl c) and paste (ctrl v) the link above, and provide it to the individual who will be completing the form. *Questions? Need Help? Please contact the Preschool Advantage office at 973-532-2501.

If you have finished completing the application, please click "Submit".
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	Name	Age
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2.
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Child's Information

Parent/Guardian #1 Information

Parent/Guardian #2 Information

Additional Family Information

Financial Information

Income:

Expenses

School Information

Parent/Guardian Agreement Form

Disclaimer

Letter of Support