2025-2026 Cabarrus County Preschool Application

Parents/Legal Guardian*

	First/Last Name	Home Phone	Cell #	Work #
Father/Legal Guardian
Mother/Legal Guardian
Other Parent/Guardian
Alternative contact if parent cannot be reached

With whom does the child reside*

Mother OnlyFather OnlyBoth ParentsLegal GuardianOther
If other, please specify

Please list immediate family members who live in the same household, i.e. Mother, Father and siblings.*

	Name	Relation to Child (e.g. grandparent, sister, etc.)	Date of Birth	Name of school where each child attends (if applicable)
1
2
3
4
5
6
7

Family size*
*Legal guardians (awarded by courts) are counted in the family size along with legal guardian’s minor children and child’s biological siblings. Foster parents, (although they should be listed above as the guardians) of the child. Extended family members are not counted in the family size.
I certify that all the information stated above is true.
Parent/Guardian Signature*

Clear
Today's Date*

MonthDayYear

	Check any that apply
Experiencing Homelessness
In Foster Care
Receiving Refugee Services
WIC
Public Housing
TANF/Work First
Medicaid
SSI
Food and Nutrition Services (Food Stamps)
S.N.A.P.

Please read carefully, initial beside each line and sign at the bottom.
I authorize the Cabarrus Partnership for Children(CPFC) and it’s partnering agencies (CCS and KCS and NC Pre-K) to use and share the information in this application for the purpose of Determining Eligibility for state and federally funded Pre-K Programs and for data collection and program evaluation by NC Division of Children Development and Early Education.*
I give permission for my child to receive developmental, hearing, vision, dental and/or speech and language screening and for the results of these screenings to be shared with partnering Pre-K Programs (CPFC, NC Pre-K, CCS, and KCS).*
I understand that family involvement is expected if my child is selected for participation.*
I understand that my child will need health forms (signed by appropriate medical professional) including a current health assessment, current immunization record and a current dental assessment per program requirements. Please provide with application to complete your application process. *
I understand that transportation to and from Pre-K programs will be the family’s responsibility. This program does NOT provide transportation.*
I understand that If there is a change in my child's address, phone number, or if there is change in family income, it is my responsibility to notify the Cabarrus Partnership for Children and inform them of any changes.*
I understand that my child is required to attend each day school is open for the 6.5-hour school day.*
I understand that my child may be placed on a waiting list.*
Parent/Guardian Signature*

Clear
Date*

MonthDayYear
The NCPK Program is governed by a committee of local agencies and volunteers. Would you be willing to serve on the NCPK Committee as a representative of a preschool aged child?*

YesNo

2025-26 Cabarrus County Pre-K Site Preference Form
Please indicate sites that will work for your family. Different eligibility requirements apply to programs and your child may not be determined eligible for the site you select; therefore, you may want to select more than one site.

Please indicate your top three choices (1st, 2nd, 3rd)*

	Choices
NCPK in a Private Childcare site with wrap-around care
NCPK in Cabarrus County Public School site (no wrap-around care provided)
NCPK in Kannapolis City Public School Site - Kannapolis Elementary School (no wrap-around care)
McKnight Child Development Center - Kannapolis BOE Head Start (no wrap-around)

Reason(s) for your first (#1) preference*
Check all that apply. This will help us better accommodate your family’s needs (feel free to add any comments or additional information you would like us to consider)*

I can arrange transportationSibling attends this site/schoolWalking distanceBefore/after school care is offeredOther
If other, please specify (Feel free to add any comments or additional information you would like us to consider)
2025-26 Cabarrus Pre-K Sites

Cabarrus Childcare Site	Cabarrus Public School Site
Cabarrus Bilingual Preschool - Central	Bethel Elementary
Cabarrus Bilingual Preschool - St. James	Boger Elementary
Kids' Korner	Harrisburg Elementary
Kids R Kids	Irvin Elementary
Lockhart CDC	Rocky River Elementary
Logan CDC	Winecoff Elementary
Richfield CDC
Smart Kids

Kannapolis Head Start	Kannapolis Public School Site
McKnight Head Start	McKnight Mini Monarch at North Kannapolis

Educational Services Agreement
Child's Name*

First NameLast Name
Parent's Name*

First NameLast Name
Participation in the Cabarrus County Pre-K Programs is a unique opportunity. As with any opportunity, it comes with responsibilities. Participation is a privilege for students. Through this contract, parents join with the Cabarrus County Pre-K Programs in a partnership to support their children.

I am committed to and will:
1. Agree that my child attends school every day that he or she is scheduled to attend. I understand that it is the parent’s responsibility to contact the child’s teacher anytime the child will be absent. I understand that an unexcused absences and irregular attendance (despite supportive services) will result in my child being dropped from the program.
2. The program day is 6 ½ hours. I Agree to make sure my child arrives at the start of the school day and picked up on time at the end of the school day. I am aware that there are no provisions for childcare before and after school. Wrap around care must be arranged by the parents.
3. Agree to keep child health assessments and immunizations up-to-date and provide to the child’s teacher.
4. Agree to allow staff to make home visits during the school year.
5. Agree to attend parent conferences requested by my child’s teacher and be available to contact on a regular basis with staff. This may involve home visits, telephone conferences or school conferences.
6. Agree to participate with my child in regular at-home activities as requested by my child’s teacher to promote literacy learning.
7. Agree to check my child’s book bag daily for home/school communication.
8. In case of additional behavioral or educational concerns by my child’s teacher, I agree to follow through with recommendations by support specialists.
Parent/Guardian Signature*

Clear
Date*

MonthDayYear
Date

Consent for Photograph/Video of Children
Do you give your child permission to be photographed or videoed while participating in the Cabarrus County Pre-K Programs located in either Cabarrus County Schools, Kannapolis City Schools or approved NC Pre-K classrooms in private childcare centers?

The purpose of photos/videos are to promote the importance of early childhood programs, provide training and professional development and spotlight program achievements.

At the discretion of the Cabarrus Partnership for Children, these photos/videos will be used on the Cabarrus Partnership for Children Website, social media pages and/or in training presentations.

Thank you for allowing your child to be an example of how Smart Start is raising the awareness of the community to children's needs.
Do you give your child permission to be photographed/videoed while participating in the Cabarrus County Pre-K program?*

YESNO
Child's First / Last Name*
Parent's Name (Print)*
Parent/Guardian Signature*

Clear
Date*

MonthDayYear

Submit Required Documentation
Applications will remain incomplete until all documentation is received.
1. Click here to view and download required forms
2. Please submit 1 document per upload to ensure that your documents are legible when reviewed by our staff.
Child’s Birth Certificate*

(Mother’s Verification of Facts’ form is NOT ACCEPTABLE)
Cancelof
Documentation of ALL income for 1 month*

Cancelof
Current Health Assessment / Immunizations

Cancelof
Dental Screening

Cancelof
Copy of child’s Individualized Education Plan (IEP) if applicable

Cancelof
Documentation of Legal Guardianship for Foster Care

Cancelof
Should be Empty:

Eligibility Info, Requirements and Instructions	Required Forms (PDF Downloads)
Eligibility & Instructions	Health Assessment
Frequently Asked Questions	Dental Form
Printable Application	Kinship Care Form (if applicable)

	YES	NO
Mother Employed
Mother Seeking Employment
Mother Attending Secondary Education
Mother Attending High School/GED
Mother Attending Job Training
Other Employment

	YES	NO
Father Employed
Father Seeking Employment
Father Attending Secondary Education
Father Attending High School/GED
Father Attending Job Training
Other Employment

2025-26 Cabarrus County Pre-K Application

Important Information & Required Form

Health Information

Insurance

Medical

Dental

Military Status

Prior Placement

Current Placement

2025-26 Cabarrus County Pre-K Site Preference Form

2025-26 Cabarrus Pre-K Sites

Educational Services Agreement

Consent for Photograph/Video of Children

Submit Required Documentation

Applications will remain incomplete until all documentation is received.

Click here to view and download required forms

Please submit 1 document per upload to ensure that your documents are legible when reviewed by our staff.

	YES	NO
Child Support
SSA