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  • Application for Pre-K Counts 2026-2027

    (This information is confidential to the PA Pre-K Counts program)
  • We are so excited you are applying for our Pre-K Counts Early Learning Program! This program provides quality early childhood education services to families living within certain income thresholds at NO COST to you!

    Pre-K Counts is a Pennsylvania state funded preschool program that focuses on providing quality education services for families living in the state of Pennsylvania and falling within 300% of the federal poverty guidelines. Your child must be at least 3 years old by the start of the current School Year to be considered for enrollment. This program provides additional services to children with disabilities.

    Special condsiderations are given to children whose families are experiencing hardships such as:

    - Housing instability

    - Receiving PA TANF/CASH assistance/SNAP Benefits/Supplemental Security Income for someone in the home

    - Child is in Foster/Kinship care

    Please see our Non-Discrimination Statement here

  • In order to process your application, we need the following information:

  • At least ONE birth record for the child. This could be: 

    • Birth Record/Certificate
    • Hospital Certificate 
    • Hospital Record
    • Certificate of Indian Blood (if applicable)
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  • At least ONE proof of residency. Acceptable examples include: 

    • Mortgage bill/letter
    • Rental Agreement
    • Notarized Letter from Landlord/Owner
    • Utility Bill (electric, water, seage, etc.)
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  • Proof of income for EVERY adult in the home. Examples include: 

    • Last Year's Income Tax Form 1040, 1040EZ, or 1040A
    • Last Year's W-2s for every place of employment
    • One month's worth of most recent paystubs (2 = bi-weekly, 4 = weekly)
    • Employer Verification Form: Please let us know if you need this
    • Court approved Child Support documentation
    • Unemployment Compensation letter: Dated within the past 12 months
    • Letter of employment termination on company letterhead
    • Social Security Benefits Aware Letter: Dated within the past 12 months
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  • Proof of Special Consideration Status (if applicable):

    • Proof of Supplemental Security Income Aware Letter dated within the past 12 months
    • Proof of TANF/Cash Assistance/SNAP Award Letter dated within the past 12 months
    • Proof of Foster/Kinship Care
    • Proof of SNAP benefits
    • If you are housing instable, please inform the Director
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  • Children's Health Documents (REQUIRED for enrollment):

    • Immunization Records
    • Physical Exam Records
    • Dental Exam Records 
    • IEP and/or Behavior/Treatment Plans (if applicable)
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  • Additional Documents that are REQUIRED if applicable:

    • Custody Orders or Agreements 
    • Protection from Abuse Orders 
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  • Section 1: Applicant Information

  • Date*
     / /
  • Date of Birth*
     / /
  • Age at start of program year:*
  • Child's Ethnicity (please check one):
  • Child's Race (Please check ALL that apply):*
  • What is the primary language used in your home?*
  • What language does your child speak most often?*
  • Section 2: Parent/Guardian Information

  • Gender
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Role*
  • Transportation*
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  • Section 3: Family Information

  • Per PKC Statue, Regulations, and Guidance, the following members of the household are included in family size:

    - Parent of the child (biological or adoptive mother or father, stepmother or stepfather, caretaker or spouse) 

    - A biological, adoptive, unrelated or foster child or stepchild of the parent or caretaker who is under 18 years of age and not emancipated. 

    - A child who is 18 years of age or older but under 22 years of age who is enrolled in high school, a general educational development program, or a post- secondary program leading to a degree, diploma or certificate and who is wholly or partially dependent on the income of the parent or caretaker or spouse of the parent or caretaker. 

    - Others supported by the income of the parent(s) or guardian(s) of the child enrolling or participating in the program. If counted toward family size, any applicable income of these persons must also be counted for eligibility purposes. 

    Note: A family size value of one (1) with an income of $0 is entered when a foster child is applying for Pennsylvania Pre-K Counts. 

  • Please list all persons in your family household, including PRIMARY Parent/Guardian and CHILD:

  • Date of Birth
     - -
  • Date of Birth
     - -
  • Date of Birth
     - -
  • Date of Birth
     - -
  • Date of Birth
     - -
  • Date of Birth
     - -
  • Household Income Sources (Must check all that apply):
  • Section 4: Other Child Eligibility Risk Factor Criterion

  • Please select all that apply
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  • Family Assurances

  • By signing below, I acknowledge and agree to the following:
  • Parent/ Guardian Certification


    To the best of my knowledge, the information provided in this application and assosiated documentation is accurate. I understand that I may be asked to verify or give proof of information provided.

     

    I certify that all information provided is accurate. I understand that eligibility is subject to verification and providing flase information may result in disqualification.

  • Date*
     - -
  • Family and Program Administrator Complete this Portion Together

  • For Head Start Eligible Families (100% of FPL or below)

  • I have been informed of my child's eligibility for Head Start and given the following:
  • Date*
     - -
  • Date
     / /
  • Dual Enrollment Verification

    (Complete once eligibility and enrollment is confirmed)
  •  

    This section helps process the PA PKC Verification Form, which documents a child’s enrollment in the PA PKC Program and is submitted to the ELRC. Additionally, it ensures families seeking wraparound services receive referrals to the local ELRC and accurate notification of the PKC enrollment start date.

     

  • Is this child currently receiving CCW subsidy (at any program)?
  • Is the family interested in receiving ELRC contact information to determine eligibility for CCW wrap around care (at any program)?
  • Format: (000) 000-0000.
  • Has the PA PKC program submitted a Verification Form to/communicated with the appropriate ELRC to confirm PKC enrollment with Child Care Works (CCW) and received confirmation back?
  • Use the PA PKC and CCW dual enrollment contact lists on the PKC portal for this information.

  • Date
     - -
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  • Application for Pre-K Counts 2026-2027

  • Once we receive all of your documents, our Director or Enrollment Specialist will verify all of the information. You will be required to complete this verification meeting via phone, email, or in-person. Once the application has been fully processed and approved by our leadership team will notify you within 10 days of the status of your application. Once our enrollment window has been closed, we will notify you within 10 days if your child has been approved to attend the program. If your child is put on the waitlist you might be able to attnd another PreK Counts program if spots are available. Please know that the waiting list is fluid and changes with each new application. If a seat is available, and your child is qualified as next on the waitlist, then you will receive a phone call and email informing you of your child’s enrollment.

    Please understand that completing an application does NOT guarantee enrollment in our programs. Slots are very limited and there is a high need across our county. Pre-K Counts applicants MUST be at least 3 years of age by the start of the school year to be considered eligible for enrollment.

    If you need any assistance with the application process or have additional questions, please reach out to our Enrollment
    Specialist, Erin Stoto at (610) 400-8582 or at enroll@magicmemories.org

    Pre-K Counts is a Pennsylvania state funded preschool program that focuses on providing quality education services for families living in the state of Pennsylvania and falling within 300% of the federal poverty guidelines. Your child must be at least 3 years old by the start of the current School Year to be considered for enrollment. This program provides additional services to children with disabilities.

     

    Eligibility for Head Start and Pre-K Counts follows the annual federal poverty level guidelines. These guidelines are updated annually, starting in January of each respective year. Each column represents the maximum income amount allowed in each program, based on family size.Eligibility for Head Start and Pre-K Counts follows the annual federal poverty level guidelines. These guidelines are updated annually, starting in January of each respective year. Each column represents the maximum income amount allowed in each program, based on family size.

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