RAP Preschool Interest Form/ RAP Formulario de interés en el Programa Preescolar

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Thank you for your interest in the Recreation and Parks Licensed Preschool Program! Please complete this interest form.

¡Gracias por su interés en el Programa Preescolar con el Departamento de Parques y Recreación! Por favor, complete este formulario de interés.

Email *

Parent/Guardian Full Name

Nombre de Padres/Guardián

Phone Number/Número de Teléfono *

Zip Code/Código postal *

Family Size/Tamaño de la Familia *

How many children are you interested in enrolling?

¿Cuántos niños estás interesado en inscribir?

Child's Age (2-6 years old)/Edad de nino(s) (2-6 años) *

Are you interested in registering your child in a full day preschool program?

¿Está interesado en registrar a su hijo o hija en un programa preescolar de día completo?

Full Day (7am-6pm)/Dia Completo (7am-6pm)

Yes/Si

What site(s) are you interested in?

¿En qué Centro de Cuidado Infantil(s) está interesado/interesada?

1. Banning Preschool (1331 Eubank Avenue Wilmington, CA 90744)

2. Branford Preschool (13306 Branford Street Arleta, CA 91331)

3. Downey Preschool (219 South Avenue 18 Los Angeles, CA 90031)

4. Echo Park Preschool (515 Laveta Terrace Los Angeles, CA 90026)

5. Evergreen Preschool (211 S. Evergreen Avenue Los Angeles, CA 90033)

6. Hubert Humphrey Preschool (12560 Fillmore Street Pacoima, CA 91331)

7. Ira C. Massey Preschool (5001 Obama Boulevard Los Angeles, CA 90016)

8. Jim Gilliam Preschool (4000 S. La Brea Ave. Los Angeles, CA 90008)

9. Ralph M. Parsons Preschool (841 West Martin Luther King Jr. Blvd. Los Angeles, CA 90037)

10. South Park Preschool (345 East 51st Street Los Angeles, CA 90011)

11. Van Ness Preschool (5720 2nd Avenue Los Angeles, CA 90043)

12. Victory Valley Preschool (6451 Saint Clair Avenue North Hollywood, CA 91606)

Required

Is your child presently in a preschool?/¿Está su hijo actualmente en preescolar? *

Yes

Are you employed or in school?/¿Estás empleado o en la escuela?

Employed/Empleado

In School/En la escuela

Seeking employment/Buscando trabajo

Clear selection

Is your family receiving or experiencing the following?/Su familia está recibiendo o experimentando lo siguiente?

Child Protective Services/Servicios de protección infantil

Homelessness/Personas sin hogar

CalWorks/Cash-Aid/CalWorks/Ayuda en efectivo

Free or Reduced Price Meal(FRPM)/Comida gratuita o a precio reducido (FRPM)

Low Income/De bajos ingresos

Other:/Otra/Otro:

None

Required

Is there anything else you would like us to know?/¿Hay algo más que le gustaría que supiéramos? *

Send me a copy of my responses.

Submit

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