Collaborative Preschool Application
High quality early education experiences are critical to every young child's development. Children who have high quality experiences are more successful later in life. In Ionia & Montcalm County, the Joint Recruitment system was developed to ensure that federal and state guidelines are being followed regarding enrollment and recruitment of all age eligible preschoolers. This also ensures that our system can service as many age eligible children as possible with free and/or low cost quality preschool.

State of Michigan preschool funding is announced in July for (GSRP programming) and enrollment should begin by August 1st. Unlike K-12 education, state preschool funding is not a guaranteed budget item and until funding has been awarded enrollment cannot take place.

You should receive an email that verifies that your application was submitted. Once received, a Joint Recruitment representative will process your application and forward it to the program that your child is eligible for. You will receive communication regarding enrollment only after the funding (State and Federal) has been confirmed. The most important step is completing and submitting the initial application found here! We appreciate your patience with this process.

Child Name
First & Last Name:
Your answer
Date of Birth
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Sex
Parent/Guardian 1
Your answer
Date of Birth
MM
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DD
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YYYY
Relationship
Parent/Guardian 2
Your answer
Date of Birth
MM
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DD
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YYYY
Relationship
County
Your answer
School District in which you live
Your answer
E-mail address
Your answer
Street Address or P.O. Box
Your answer
City
Your answer
Zip Code
Your answer
Phone1
Please include area code, example: (616) 522-1412
Your answer
Phone1
Required
Phone2
Please include area code, example: (616) 522-1412
Your answer
Phone2
TEXT Messages
Please identify the closest crossroads near your home
Your answer
Day Care Address (if different)
Your answer
Has your child attended any Early Childhood Programs?
If yes, where?
Your answer
Does your child have an IEP (Individualized Education Plan)?
My signature below authorizes any Intermediate School District and/or local education agency to share my child’s educational records with the Collaborative Recruitment Committee.
Was your child ever involved with EarlyOn?
Does your child have an up to date well child exam?
Are your child's immunizations up to date?
Is this child in a foster care placement?
Are you homeless (lack of a fixed, regular, and adequate nighttime residence)?
Additional information we should know about your child (parental/behavioral/developmental concerns or health issues, etc.)?
Your answer
Child lives with?
Number of siblings
Your answer
Does your family receive any of the following?
Required
Parent/Guardian 1 : Total of all Gross Income (verification of income will be required)
Your answer
Choose the period the above total represents
Income source: (check all that apply)
Parent/Guardian 2 : Total of all Gross Income (verification of income will be required)
Your answer
Choose the period the above total represents
Income source: (check all that apply)
Any income changes in the last 6-12 months? (i.e., unemployment, wage increase/decrease, etc)
Your answer
This is an application only and does not guarantee your child will be enrolled into a program. The recruitment committee will review your child’s application and determine which program(s) for which your child appears most eligible. Eligibility is based on a child’s age, family income, child’s need & available openings. Documentation required. Not all program options are available in all areas.
Should you be interested in a particular program, please indicate that program on the following line so parent preference may be considered. Local protocol will be followed regarding specific program placement.
Your answer
I hereby release this information and educational records to be shared between the EightCAP, Inc. Collaborative Recruitment Committee, the Great Start Readiness Preschool Program, local school districts, local Intermediate School District and the Head Start Program in the county in which I reside. My signature verifies that the above information is correct and true to the best of my knowledge.
Parent/Guardian Signature
Typing your name in this box constitutes as a valid electronic signature.
Your answer
Date
MM
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For more information, call 1-866-754-9315, ext. 3369 or Michigan Relay Center: 1-800-649-3777 (Voice & TDD)
Gratiot and Isabella County: preschoolpartnership.org
How did you hear about your local preschool program
Required
State & Federally funded programs will not discriminate against anyone because of race, color, national origin, sex, age or disability, except as prescribed by program guidelines.
NEEDS ASSESSMENT
Are you
How much schooling have you completed?
Were you under 20 years old when your first child was born?
Have you lived in more than 2 homes in the past three (3) years?
Has anyone in your home ever been a victim of physical/domestic/sexual abuse or neglect?
Do you reside in a high-risk neighborhood (high poverty, crime or limited access to critical resources)?
Have your children suffered a parental loss due to death, divorce, incarceration, military service or absence?
Has your child ever been expelled from a child care center?
Has your child ever been exposed to a toxic substance?
If yes, what substance
Your answer
In the past 2 years have you or members of your household:
Experienced difficulty in obtaining medical services?
Used the emergency room?
Received a shut-off notice from a utility company?
Been homeless?
Ever been without heat?
Used a food bank or pantry?
How many people are living in your home?
Your answer
Their name
First & last:
Your answer
Date of Birth
MM
/
DD
/
YYYY
Relationship to applicant child:
Your answer
Their name
First & last:
Your answer
Date of Birth
MM
/
DD
/
YYYY
Relationship to applicant child:
Your answer
Their name
First & last:
Your answer
Date of Birth
MM
/
DD
/
YYYY
Relationship to applicant child:
Your answer
Their name
First & last:
Your answer
Date of Birth
MM
/
DD
/
YYYY
Relationship to applicant child:
Your answer
Their name
First & last:
Your answer
Date of Birth
MM
/
DD
/
YYYY
Relationship to applicant child:
Your answer
Their name
First & last:
Your answer
Date of Birth
MM
/
DD
/
YYYY
Relationship to applicant child:
Your answer
Primary Language spoken in your home?
What is the Primary Language spoken by your child(ren)?
This application is used by all preschool programs in Ionia & Montcalm County. You should receive an email that verifies that your application was submitted. Once you have completed the application, it will be sent onto Eight Cap of Montcalm County to be processed. Their Joint Recruitment representative will process your application and forward it to the program that your child is eligible for. Please fill out this application completely and answer the questions with as much detail as possible. All information will be verified at a final enrollment meeting with the program you are eligible for. You will receive communication regarding enrollment only after the funding (State and Federal) has been confirmed. The most important step is completing and submitting the initial application found here! We appreciate your patience with this process.
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