2019-20 Application for Three Year Old Preschool Program
Eligible preschoolers must be born between September 16, 2015 and September 15, 2016. A $300 monthly tuition fee will be required. Please complete the information below and click the submit button.
Transportation to preschool is not provided.
Child's Legal Last Name
Child's Legal First Name
Child's Middle Name
Child's Birth Date (must be born between 9/16/2015 and 9/15/2016 to be eligible)
Hispanic or Latino
Not Hispanic or Latino
Race (check all that apply)
American Indian or Alaska Native
Black or African American
Native Hawaiian or Other Pacific Islander
Primary Phone (will be used as student's primary/home phone, please use ###-###-#### format)
Does your child have siblings currently attending any school in the Iowa City Community School District?
PARENT 1 INFORMATION
Parent/Guardian 1 Last Name
Parent/Guardian 1 First Name
Parent/Guardian 1 relationship to student (mother, father, grandparent, step-parent, guardian, etc.)
Parent/Guardian 1 Primary Phone
Parent/Guardian 1 Email Address - Confirmation letters will be emailed to this address. If you do not have a valid email address, please enter
and paper copies of confirmations will be mailed.
PARENT/GUARDIAN 2 INFORMATION
Parent/Guardian 2 Last Name
Parent/Guardian 2 First Name
Parent/Guardian 2 relationship to student
Parent/Guardian 2 Primary Phone
Parent/Guardian 2 Email Address
Please note, the first option is your home school attendance area (based on your current address), where your child will attend Kindergarten.
Three year old preschool placements are subject to availability and can not be guaranteed. Placements are on a first come, first served basis and all submissions are time-stamped.
School Attendance Area
Coralville Central Elementary
Van Allen Elementary
Preschool Building Preference
Borlaug Elementary, M-F 8:00am - 10:45am (Program is full - currently taking names for waiting list)
Grant Elementary, M-F 8:00am - 10:45am (Program is full - currently taking names for waiting list)
Hoover Elementary, M-F 8:00am - 10:45am (Program is full - currently taking names for waiting list)
For questions or if you wish to share additional information regarding your child's preschool application, please email the Preschool Program Secretary at
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