2019-2020 MSAD 15 Pre K Application (4 year olds)
Dear Parents/Guardians,

MSAD 15 offers a voluntary Pre K program with limited availability. We are able to enroll up to 90 students each year.

If your child will be 4 years old on October 15, 2019 and you would like to access the Pre K program, please complete this form. Also, please set aside April 23, 24, & 25 for Pre K screening.

If selected for the program, you will receive a link to complete enrollment. In the meantime, you may want to start putting together the documents listed below as they are all required for any student entering the school system.
1. Birth Certificate
2. Proof of Residency
3. Immunization (Copy)
4. Any legal guardianship, custody or other documentation

Thanking you in advance,
Dunn School Pre K Staff

Student's Name *
First Name
Your answer
Student's Name *
Middle Name
Your answer
Student's Name *
Last Name
Your answer
In which town does the child reside? *
Child's date of birth *
month/day/year
Your answer
Gender *
Child's physical address *
Your answer
Mailing address *
If mailing address is the same as physical address write 'same'
Your answer
Primary Phone number *
Please indicate if this is a home phone or cell phone
Your answer
Secondary Phone number
Please indicate if this is a home phone or cell phone. If there is no secondary phone write 'none'
Your answer
Primary Email Address (please enter "none" if you do not have an email address) *
Your answer
Parent/Gaurdian's name *
Your answer
Co-Parent/Guardian's name
Your answer
Name of other custodial guardian and the relationship to child
Your answer
Is your child currently working with Child Development Services CDS? *
There are a number of spaces set aside for students who qualify for free or reduced lunch. Do you know now or believe that your child will qualify for free/reduced lunch? *
If you answer yes, we will send additional paperwork for verification. If you are unsure, check 'yes' and we will send you paperwork.
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