School Readiness Application
Through a School Readiness grant funded by the Connecticut Office of Early Childhood, there are a number of spaces available in high-quality preschool programs at a reduced cost.

For the 2021-2022 school year, the Colchester School Readiness Program is actively seeking:
· Children who are not enrolled in a preschool program;
· Children who live in Colchester;
· Families who want a 5 day a week program;
· Families who may find it difficult to pay for preschool
Email address *
Your Child's Street Address. Colchester residency will be verified before placement. *
Child's First Name *
Child's Middle Name
Child's Last Name *
Child's Date of Birth *
Name of Parent to Contact *
Phone Number of Parent to Contact *
What option(s) below are you interested in? *
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Primary Language in Home *
Gross Total Income of your Household from 2020 tax return. Income will be verified before the placement of a child into a program. Include Wages, SSI, Social Security, Rental Income, Worker’s Compensation, Unemployment, Foster Care Subsidy, Alimony, Pensions, Veterans Benefits, Cash Assistance, Dividends/Interest (if over $10/month). Please answer in $. *
Is your current income about the same as your tax return? *
Number of Parent(s)/Parent's spouse in household *
Number of Minor Children in Household *
About your Child *
Receives Birth to Three or Other Special Education Services
Has attended a program before
Is a foster child
What stressors apply to your family?
Any additional comments or concerns about your child or your family situation:
I attest that the information given is true and accurate to the best of my knowledge. Type your name in the box as your electronic signature. *
A copy of your responses will be emailed to the address you provided.
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