DEAW GSRP Preschool Prescreen Form (2026/27 School Year)
In order to determine if you and your child qualify for the DEAW GSRP Program, please answer the questions below.  Our staff will review the responses and if you qualify, we will reach out to you for an interview, beginning in March or April.  You are encouraged welcome to join us, March 14th or April 15th, for our Meet and Greet. There will also be short tours being given Friday, May 1st and 15th. 

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Email *
What day is best for you to come to the school to fill out the necessary paperwork? *
Required
Is there a time of the day that is better for you? *
Child's Name *
Child's Gender *
Child's Date of Birth *
MM
/
DD
/
YYYY
Child's Birth Certificate *
Required
Parent/Guardian's Name *
Phone Number *
Which session would you like to attend? *
The number of ALL household members (self, children, and other adults) for which you are financially responsible: *
Gross Income (before taxes): $                                            *
Does the income reported above represent your weekly, bi-weekly, twice a month, monthly or annual income? *
Sibling: *
Thank you for your interest in enrolling your child in the David Ellis Academy West GSRP!
We will review your form and look forward to meeting you and your child at the meet and greet session.

Please begin to gather the following documents:                                                        
- Copy of Birth Certificate or Alternative Verification
- Proof of Immunizations/Shot Records                                          
- Parent Identification            
- Health Appraisal / Physical (completed and signed by a doctor)


Please review, check the boxes and type your name below.
Typed Signature *
A copy of your responses will be emailed to the address you provided.
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