2024-2025 FULL DAY PRE-K APPLICATION

2024-2025 FULL DAY PRE-K APPLICATION

** Children 4-years-old on or before September 1, 2024 **
STUDENT'S NAME*

First NameLast Name
STUDENT'S DATE OF BIRTH*

MonthDayYear
Date
PARENT/GUARDIAN NAME*
PHYSICAL ADDRESS*
EMAIL ADDRESS*
example@example.com
PHONE NUMBER*
PRE-K ELIGIBILITY

To be eligible for enrollment in KISD's free Pre-K program, a child must be at least four years of age on or before September 1, 2024, (date of birth 9/2/2019 to 9/1/2020) and meet one or more of the following eligibility requirements:
- is economically disadvantaged (eligible to participate in the national free or reduced school lunch program based on family size and total gross income);
- is unable to speak and comprehend the English language;
- is homeless;
- is the child of an active duty member of the armed or reserve forces of the United States or a mobilized member of the Texas National Guard;
- is the child of a member of the armed or reserve forces or Texas National Guard, who was injured or killed while serving on active duty;
- is or has ever been in the conservatorship of the Department of Family and Protective Services (foster care);
- is a dependent of a Star of Texas awardee.
REQUIRED DOCUMENTATION

The following documentation is required to process your student's free Pre-K application.

ECONOMICALLY DISADVANTAGED	SNAP or TANF eligibility letter from Texas HHS Medicaid benefits eligibility letter from Texas HHS paycheck stubs, unemployment, worker's compensation or disability payment stub (for the last 30 days) 2023 IRS tax return
UNABLE TO SPEAK AND COMPREHEND THE ENGLISH LANGUAGE	Completion of language testing by KISD personnel
HOMELESS	KISD McKinney-Vento Liaison approval
ACTIVE DUTY MILITARY	Military ID Statement of Service
INJURED OR KILLED WHILE ON ACTIVE DUTY	Copy of Death Certificate Copy of Purple Heart orders or citation Official letter from Commander Copy of letter from US Department of Veterans Affairs indicating eligibility for service-connected disability compensation
FOSTER CARE	DFPS verification letter DFPS Form 2085 Court order
STAR OF TEXAS AWARD	Certificate of award

PLEASE SELECT ONE OR MORE OF THE FOLLOWING:
MY CHILD QUALIFIES FOR PRE-K BECAUSE HE/SHE*

IS ECONOMICALLY DISADVANTAGEDIS UNABLE TO SPEAK OR COMPREHEND THE ENGLISH LANGUAGEIS HOMELESSIS THE CHILD OF AN ACTIVE DUTY MEMBER OF THE US MILITARY OR MOBILIZED TEXAS NATIONAL GUARDIS THE CHILD OF A MEMBER OF THE US MILITARY WHO WAS INJURED OR KILLED WHILE ON ACTIVE DUTYIS CURRENTLY IN OR HAS BEEN IN FOSTER CAREIS THE CHILD OF A STAR OF TEXAS AWARDEEOTHER - MY CHILD IS NEEDING EARLY CHILDHOOD SPECIAL EDUCATION SERVICES.OTHER - I AM A KENNEDALE ISD EMPLOYEE.NONE OF THE ABOVE. I AM INTERESTED IN THE TUITION-BASED PRE-K PROGRAM.
ECONOMICALLY DISADVANTAGED

Provide the NAME and 8 or 9 DIGIT ELIGIBILITY NUMBER for the member of your household that receives Supplemental Nutrition Assistance Program (SNAP), Temporary Assistance for Needy Families (TANF), or Medicaid benefits.
NAME
SNAP, TANF, or MEDICAID ELIGIBILITY NUMBER
IF YOUR HOUSEHOLD DOES NOT RECEIVE SNAP, TANF OR MEDICAID BENEFITS, COMPLETE THE FOLLOWING SECTION.

PLEASE UPLOAD ONE OF THE FOLLOWING: paycheck stubs for the most recent 30 days, unemployment, worker's compensation or disability payment stub; SNAP, TANF or MEDICAID eligibility letter; 2022 US tax return*

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ADDITIONAL DOCUMENTS MAY BE UPLOADED HERE.

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UNABLE TO SPEAK OR COMPREHEND THE ENGLISH LANGUAGE

To determine if your child would benefit from bilingual and/or ESL program services, please complete the home language questionnaire below. If either of your responses indicates the use of a language other than English, then the school district must conduct an assessment to determine how well your child communicates in English. This assessment information will be used to determine if bilingual or ESL program services are appropriate and to inform instructional personnel of program placement recommendations.
1. WHAT LANGUAGE IS SPOKEN IN THE CHILD’S HOME MOST OF THE TIME?*
2. WHAT LANGUAGE DOES THE CHILD SPEAK MOST OF THE TIME?*
STUDENT’S COUNTRY OF BIRTH*
HAS STUDENT EVER ATTENDED A US SCHOOL?*

YESNO
Campus staff will contact you to arrange language testing for your student.
STUDENT RESIDENCY QUESTIONNAIRE

The information on this form is required to address the McKinney-Vento Act (42 USC, Section 11434a). The answers to this residency information help determine the services the student may be eligible to receive. Presenting a false record or falsifying records is an offense under Section 37.10, US Penal Code, and enrollment of the child under false documents subjects the person to liability for tuition or other costs under TEC Sec 25.002(3)d.
IS YOUR CURRENT ADDRESS A TEMPORARY LIVING ARRANGEMENT?*

YESNO
IS YOUR TEMPORARY LIVING ARRANGEMENT DUE TO LOSS OF HOUSING OR ECONOMIC HARDSHIP?*

YESNO
If you answered YES to either of the questions above, you will be contacted by KISD's McKinney-Vento Liaison for further information.
ACTIVE DUTY U.S. MILITARY

A child is eligible for Prekindergarten if they are a child of an active duty member of the US military or mobilized Texas National Guard.
PLEASE UPLOAD the Statement of Service document.*

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INJURED OR KILLED WHILE ON ACTIVE DUTY

A child is eligible for Prekindergarten if they are a dependent of a member of the US Military or Texas National Guard who was injured or killed while serving on active duty.
PLEASE UPLOAD ONE OF THE FOLLOWING DOCUMENTS: copy of Death Certificate; copy of Purple Heart orders; official letter from Commander; or Veterans Affairs disability qualification letter.*

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FOSTER CARE

A child is eligible for Prekindergarten if the child is currently or has ever been in foster care.
PLEASE UPLOAD ONE OF THE FOLLOWING: DFPS verification letter, DFPS Form 2085, or court order.*

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STAR OF TEXAS AWARD

A child is eligible for Prekindergarten if they are the child of a Star of Texas awardee.
NAME OF AWARDEE*

First NameLast Name
PLEASE UPLOAD a copy of the certificate awarded to the individual.*

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EARLY CHILDHOOD SPECIAL EDUCATION SERVICES

Early Childhood Special Education Services are provided to students who have qualified through the Kennedale ISD Special Student Services Department. If you have not spoken with someone about receiving special education services, please contact 817-563-8081.
KENNEDALE ISD EMPLOYEE

Kennedale ISD offers full-time employees the option to enroll their non-qualifying four-year-old students in the Pre-K program at no charge.
My initials below indicates my interest in enrolling my child in the Pre-K program as an employee of Kennedale ISD. I understand that as a district employee, I am expected to follow the employee Standards of Conduct and work cooperatively and respectfully with my child’s teachers, administrators, and campus staff.

INITIALS*
TUITION-BASED PROGRAM

Kennedale ISD offers a tuition-based Pre-K program for non-qualifying four-year-old students as follows:
- Students must reside within Kennedale ISD boundaries.
- Enrollment is on a first-come, first-served basis. The number of non-qualifying students accepted will be dependent upon classroom availability and staffing needs.
- The current tuition rate is $500 per month.
- Payments may be made weekly, bi-weekly, or monthly, and are due by the last day of the month beginning August 30 through May 31.
- The district may initiate withdrawal of students whose tuition payments are delinquent.
My initials below indicate my interest in enrolling my child in the tuition-based Pre-K program. I understand the number of non-qualifying students accepted will be dependent upon classroom availability and staffing needs and enrollment will be on a first-come, first-served basis. I also understand that monthly tuition payments will be due by the last day of the month, beginning August 30 and ending May 31, and the district may initiate withdrawal of students whose tuition payments are delinquent.

INITIALS*
My signature below certify that all of the information I have provided is true and correct. I understand that the requested information will be used to determine my child's eligibility to receive federal funds and that school officials will verify the validity of the information I have provided. I also understand that a deliberate misrepresentation of information will result in the withdrawal of my child from the KISD Early Childhood program and may subject me to prosecution under applicable state and federal laws.
SIGNATURE*

Clear
DATE*

MonthDayYear
Date
ONCE YOUR APPLICATION IS RECEIVED, YOU WILL BE CONTACTED BY THE CAMPUS WITH FURTHER INSTRUCTIONS.

QUESTIONS ABOUT THE EARLY CHILDHOOD PROGRAM OR THIS APPLICATION? EMAIL LAURA WELLS @ wellslkisdtx.net.
Should be Empty:

	ALL HOUSEHOLD MEMBERS NAMES (ADULTS & CHILDREN, INCLUDING STUDENT)	RELATIONSHIP TO STUDENT	AGE	GROSS INCOME EARNINGS BEFORE DEDUCTIONS	HOW OFTEN PAID	ADDITIONAL INCOME (GOVERNMENT ASSISTANCE, CHILD SUPPORT, ALIMONY, ETC.)
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3.
4.
5.
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2024-2025 FULL DAY PRE-K APPLICATION

PRE-K ELIGIBILITY

REQUIRED DOCUMENTATION

PLEASE SELECT ONE OR MORE OF THE FOLLOWING:

ECONOMICALLY DISADVANTAGED

UNABLE TO SPEAK OR COMPREHEND THE ENGLISH LANGUAGE

STUDENT RESIDENCY QUESTIONNAIRE

ACTIVE DUTY U.S. MILITARY

INJURED OR KILLED WHILE ON ACTIVE DUTY

FOSTER CARE

STAR OF TEXAS AWARD

EARLY CHILDHOOD SPECIAL EDUCATION SERVICES

KENNEDALE ISD EMPLOYEE

TUITION-BASED PROGRAM