Early Childhood Services Request Form

Thank you for your interest in Minneapolis Public Schools (MPS) Early Childhood Education. Please complete this form so we can reach out to you. MPS will use this data to connect families to MPS early childhood services. Thank you!

Parent/Caregiver

First NameLast Name

Phone Number

To call or textFormat: (000) 000-0000.

Email

Preferred Language

Interpreter

Ages of Children

Click on the service you're most interested in. A staff member from the program will contact you with more information.

Are you a Minneapolis resident?

Would you like to request an evaluation now, or would you prefer to have someone contact you to share more information first?

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Please provide child's name and birthdate. To add additional children, click "Add Row"

Who is submitting this interest form?

Contact Information

Name of person completing this form:

Is there any additional information about the family that will help us better support them?