NC Pre-K Application | English 2024-2025

Home Language Survey

Your child will be assessed in the language you list below.* Please answer with this in mind.
Language your child learned to speak?*
Language child speaks most often?*
Primary language of Mother*
Mother's second language?
Primary language of Father

Pre-K Site/Program Options Form
Child's Name*

First NameLast Name
1. NC Pre-K partner sites are listed below. Carefully review and map out site locations now. You provide transportation each school day.
2. Consider current and future work schedules when considering site options. Once placed, children are not moved.
3. Each NC Pre-K partner classroom meets the same requirements for quality.

For 2024-25, we are accepting wait list applications for these sites.

Site	Address	Class Hrs
A Plus Childcare & Learning Center (E)	109 Camelia Dr, Monroe	7:30-2:00
Childcare Network 121 (E)	780 Sutton Place, Monroe	7:30-2:00
ChildTime Monroe (E)	1714 N. Charlotte Ave, Monroe	7:30-2:00
Childtime Indian Trail	120 Business Park Drive, Indian Trail	7:30-2:00
Indian Trail Elementary	200 Education Dr., Indian Trail	7:15-2:00
Kids R Kids	5549 Potter Rd., Indian Trail	7:30-2:00
LeafSpring School at Matthews	3420 Pleasant Plains Rd, Stallings	8:00-2:30
Oakboro Kids Club	206 N. Main St., Oakboro	7:45-2:15
STEP's Developmental Academy	108 Indian Trail Rd., Indian Trail	7:15-2:20
Walter Bickett Education Center	501 Lancaster Ave, Monroe	7:00-1:30
Waxhaw Elementary	1101 Old Providence Rd., Waxhaw	7:15-2:00
Weekday Children’s Ministries	801 S. Hayne St, Monroe	7:30-2:00
Wingate Baptist Childcare	109 E. Elm St., Wingate	7:45-2:15

NC Pre-K follows the UCPS traditional calendar including workdays, breaks and holidays.
*Class hours and site listings are subject to change or adjustment.

From the list above, I can drop off and pick up my child at these sites for NC Pre-K:
My child and/or child's sibling attends this childcare or elementary school:

Upload Required Documents
Child's Birth Certificate*

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#1 Proof of residency with a parent name and current address*

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#2 Proof of residency with a parent name and current address*

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Proof of household income*

Options: Four consecutive recent check stubs OR If same job for all of 2023, provide a 2023 W-2 or 2023 tax return. If new job, job offer letter from employer. OR copy of child’s recent Medicaid card OR copy of family’s current Food and Nutrition services letter. Include documents for: Alimony, SSA, SSDI, child support, disability, unemployment for mom and dad/stepmom/stepdad.
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If legal guardian, custodian, or foster: Provide legal/DSS documents

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Additional documentation (if applicable)

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- I give my permission for NC Pre-K staff, UCPS EC or Title 1, NC Pre-K teachers and/or classroom support staff to share documents, discuss my child’s progress and needs for classroom or outside support to best serve my child.
- I understand that this application is for possible enrollment following NC Pre-K eligibility guidelines.
- I give permission for my child to be photographed and/or videotaped for display, scrapbook, newspaper articles, and/or posting to social media, Facebook or websites.
- I agree that my child will attend Pre-K on time and on a regular basis. I will work as a team with my child’s teachers and staff.
My signature below certifies that all information on this application and the documents I provided is accurate, true, and completed correctly.
Mother/Caregiver Signature*

Clear
Date*

MonthDayYear
Date
(INITIAL) -- I receive no income of any kind

Clear
Father/Caregiver Signature

Clear
Date

MonthDayYear
Date
(INITIAL) -- I receive no income of any kind

Clear
Please verify that you are human*
Should be Empty:

2024-2025 NC Pre-K

Child's Information

Complete this section for family members who reside with the child

Home Language Survey

Pre-K Site/Program Options Form

Upload Required Documents

	First/Last Name	Relationship to Child (Birthdate/age)	Brother/sister's school OR childcare site
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