Preschool Application
Tooele County School District 2019 – 2020

Welcome and thank you for your interest in the Tooele County School District Preschool Program!
THIS IS ONLY AN APPLICATION AND DOES NOT GUARANTEE YOUR CHILD PLACEMENT IN OUR PROGRAM.
Please note the following important information:
- Children must be 3 or 4 on or before September 1 to be eligible
- Children must be potty trained
- Classes are 2 1/2 hours per day, 2 days per week for 3 year olds and 4 days per week for 4 year olds (no class on Wednesday)
- Morning and afternoon sessions are available
- Due to high demand, if your child is accepted to our program, the required registration documents must be completed within ten days of notification or your child’s position will go to the next child on the waiting list.
Registration requirements include filling out the TCSD Preschool online registration form (if you do not have access to the internet, you can go to the Early Learning Center, Northlake, Grantsville, or Old Mill schools and use their computers), copies of birth certificate and immunization records, and proof of residency (copy of utility bill) and paid $25 registration fee.

Applications will be accepted February 27, 2019 through March 17, 2019. Parents will receive enrollment notification by postal mail and email no later than April 5, 2019.
Due to grant funding, all areas of the application must be filled out accordingly. Please make sure to fill out each section, even if questions are duplicated.

SECTION ONE

Today's Date:
Primary Contact:
Primary Contact Email:
Primary Contact Phone Number:
Child's Home Address:
City: State: Zip Code:
Childs Name:
Childs Birthday:
Is one parent a Tooele County School District Employee?

Do you have any developmental concerns for your child? If so, please briefly explain:
What is your neighborhood school? Check one
Session Placement Request
We will attempt to place your child in the class requested. However, please note that student placement is based on a first-come, first-served basis and is dependent on your child’s age. Select one below.

Please check the following boxes to indicate that you have read the following statements:

I understand that this is an application to apply for the Preschool Program with Tooele County School District.

o I understand that if my child is selected to attend the program, I must FIRST- REGISTER ONLINE AT tooeleschools.org, provide my child's proof of residency, birth certificate, immunization record, and $25.00  registration fee (when applicable) before he/she will be registered for the program.

I understand that registration must be completed within 10 days or my application position will be given to the next applicant.


SECTION TWO

for each child is $60 per month for 3 year olds (2 days a week) and $110 per month for 4 year olds (4 days a week).

Factors that can possibly affect tuition are:
• You have other children enrolled at TCSD that are already qualified for free or reduced meals.
*If this is your first child enrolled at TCSD, you may refer to the chart below to see if you your child may qualify for free or reduced meals. It is the parent’s responsibility to contact TCSD Food Services, if you think you may qualify.
• Your neighborhood school is a Title 1 funded school (You can call your neighborhood school and ask)
• A parent/guardian of child works for Tooele County School District
• More than one child per household/immediate family registered for preschool



Tuition Agreement:
• Tuition is due the 1st day of each month (September through April), with no tuition due in May.
• A $10.00 late fee will be charged for any tuition paid after the 10th of each month.
• Due to our long waiting list, all tuition plus late fees not paid by the 15th of the month, will result in the child being withdrawn from TCSD Preschool and the position given to the next child on the waiting list.
• Accounts needing collection will be turned over to the TCSD Clerk and Attorney.
• Tuition is not deducted or refunded for days missed due to illness, vacation, District calendar, or early withdrawal.
• We accept cash, checks, money orders, and online payments starting September 2019.
• A $20.00 service charge will be billed for any personal checks returned by the bank.
I parent/guardian of
I acknowledge that I have read and agree to the above Tooele County School District Preschool Tuition Agreement for the 2019-20 school year by pressing I ACKNOWLEDGE.

SECTION THREE

Grant Forms

In order for TCSD Preschool to receive grant funding, every student must fill out this form from The Department of Workforce Services. All information is confidential and only seen by DWS and grant coordinators. Please DO NOT mark which indicators may apply to your child. Only give the number that has affected your child. If none of the indicators pertain to your child, put a 0.

Dose question 1 or 2 below pertain to you child?
1. Eligible for free or reduced lunch:
2. Eligible for fee waiver:
Select one below:


Review the list below. How many of these circumstances have ever applied to your child?
  • The mother of child did not graduate form high school.
  • Single parent.
  • Language spoken in the home most often is NOT English.
  • Child born to teenage mother.
  • Child exposed to physical abuse or domestic violence.
  • Child exposed to stressful life events (death of a parent, chronic illness or parent or sibling, mental health issues, etc.)
  • Parent has been incarcerated.
  • Child lives in a neighborhood with high violence/crime.
  • One or both parents has low reading ability.
  • Family has moved more than once in the last year.
  • Child has been to foster care.
Number of Circumstances listed above. (If none put a 0):
Affirmation:
I certify that above information is true and accurate to the best of my knowledge.
Parent signature Date: 12/13/2019