0-5 Child Development Program Pre Application
Thank you for taking the time to complete the pre application for 0-5 programming. This is the first step of the process. After completing this piece, a staff person will contact you to complete the rest of the application.
Parent/Guardian First and Last Name
Parent/Guardian Date of Birth
Parent/Guardian Cell/Home Phone Number
Parent/Guardian Highest Grade Completed
Grade 9 or less
High School Graduate
Some college or advanced training
College degree or training certificate
Parent/Guardian Employment Status
Full Time (30 or more hours per week)
Part-Time (less than 30 hours per week)
Retired or disabled
In Training or School
Relationship to child (applicant)
Natural or Adopted
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