Prekindergarten Registration - School District of Philadelphia

The School District of Philadelphia ~ Office of Early Childhood Education 440 N. Broad Street, Philadelphia, PA 19130 ~ 215.400.4270

Prekindergarten Registration

Don't delay ? Apply early for September 2016!

Space is limited.

Enrollment for 2016 - 2017

Who is eligible?

Children must be at least 3 years old on or before September 1, 2016 and not be age-eligible for kindergarten.

Families must meet Head Start or Pre-K Counts income guidelines. Children and parents/legal guardians must be residents of Philadelphia PA.

To Get an Application:

View a list of centers and download an application at prek Visit any School District or Partner locations on the list to request an

application or Call 215-400-4270 (first select option 1, next select option 2) to have an application mailed to you. or Pick up an application at the School District of Philadelphia Education Center at 440 N. Broad Street

Please Note: Completing and submitting an application does not guarantee enrollment

Translated versions of this document will be available at: translation

Preschool Application

for Academic Year

2016-2017

To qualify: 1. Child must be at least 3 years old on or before September 1, 2016 and not be age-eligible for kindergarten; and, 2. Child and family must live in Philadelphia, PA; and, 3. Family must meet current Head Start or Bright Futures PA Pre-K Counts income guidelines; and, 4. Child's complete Preschool Application forms and all required supporting documents must be submitted. If you are interested in a School-Based program listed on pages 5-6, mail or hand-deliver your child's application to: The School District of Philadelphia 440 N. Broad Street Suite 170 ? Preschool Programs Philadelphia, PA 19130-4015 If you are interested in a Community Partner program listed on pages 29-31, hand-deliver your child's application directly to the Community Partner.

PRESCHOOL FACTS

1. Free preschool programs for qualified children and families up to the maximum funded capacity.

2. Days and hours of operation ? Established by the School District of Philadelphia; hours may vary by location: o September to June ? follows The School District of Philadelphia's 2016-2017 School Year Calendar to

provide 180 days of instruction

o Monday ? Thursday: 8:30 AM ? 3:15 PM o Friday: 8:30 AM ? 12:45 PM

3. Children are escorted to and from school by a person who is at least 18 years old.

4. Breakfast, lunch and afternoon snack are provided to enrolled children at no cost to families.

5. Completing and submitting a Preschool Application does not guarantee that your child will be enrolled in a preschool program.

6. Preschool applications are valid for one program year.

7. Families are determined income-eligible for Head Start and/or Bright Futures based on their family size, their annual gross income and the maximum allowable income for Head Start and/or Bright Futures eligibility. The maximum allowable income is determined by the Poverty Guideline, issued each January in the Federal Register by the Department of Health and Human Services, and is available on-line at . As a guide, the chart below shows the 2016 Poverty Guideline and maximum allowable income for Head Start and Bright Futures Pre-K Counts eligibility.

Family Size 1 2 3 4 5 6 7+

2016 Poverty Guideline for the 48 Contiguous States and D.C.

Maximum Income for Head Start Eligibility $11,880 $16,020 $20,160 $24,300 $28,440 $32,580

Add $4,160 for each person

300% of the 2016 Poverty Guideline Maximum Income for Bright Futures

Pre-K Counts Eligibility $35,640 $48,060 $60,480 $72,900 $85,320 $97,740

Add $12,480 for each person

8. Failure to inform the Office of Early Childhood Education of a change in your home address, email address and/or telephone number will negatively affect your child's acceptance, enrollment opportunity and/or continued enrollment in a preschool program.

9. The School District of Philadelphia reserves the right to request additional documentation as necessary.

10. The preschool application process, eligibility criteria, selection process and locations vary by program and may be subject to change.

Page 2

THE SCHOOL DISTRICT OF PHILADELPHIA OFFICE OF EARLY CHILDHOOD EDUCATION

440 N. BROAD STREET PHILADELPHIA, PA 19130-4015

TELEPHONE: 215-400-4270

Thank you for your interest in The School District of Philadelphia's preschool program. The information and documentation you provide with your child's Preschool Application will assist our office in determining your eligibility for the Head Start and/or the Bright Futures program. Completing and submitting an Application does not guarantee that your child will be accepted to a preschool program.

Please submit your child's application on or before March 31, 2016. To apply:

1. Complete the enclosed application forms. All forms are completed by the parent/guardian, with the following exceptions:

Child Health Assessment/Physical Exam ? completed by your child's doctor ? physical exam date must be

within the past twelve (12) months;

Dental Health/Dental Exam ? completed by your child's dentist ? dental exam date must be within the

past twelve (12) months.

2. Make a copy of the following six (6) required supporting documents:

Proof of your child's date of birth (official birth certificate, court document, passport) Your child's medical insurance card Your child's current immunization record Current proof of Philadelphia, PA address in the primary or secondary parent's/guardian's name (utility

bill, mortgage, deed, rental/lease agreement, property tax bill)

Current state or federal photo identification of the primary or secondary parent/guardian Eight (8) current and consecutive weeks of gross income received by the primary parent/guardian,

secondary parent/guardian and all children: (employment, Social Security, SSI, unemployment, child support,

alimony/spousal support, TANF Cash Assistance, retirement/pension, commission, tips, military allotment)

If you are paid in cash or with a hand-written personal or business check: submit an original notarized

statement from your employment supervisor or business owner indicating: the date, the business name/address/telephone number; your name; your position; the number of hours you work per week or your time schedule from the past 8 weeks; your gross income for each time period; the signature/title/contact telephone number of the individual writing the statement; the notary's seal and signature

If you are self-employed, receive a 1099 or are responsible for paying your own taxes, submit your

complete 2015 Federal Income Tax Return, dated and signed (hand-written signatures are required)

If you receive financial support from a friend or family member: submit an original notarized statement,

completed by this individual, indicating: the date, the individual's name; your name; your child's name; the dollar amount and frequency of financial support they provide to you; the notary's seal and signature. NOTE: if 8 weeks of income is not available, submit the income that you have. We will evaluate your information and notify you if other documents are needed.

3. Make a copy of the following supporting documents if the situation applies to you and/or your child:

Proof of your family's current monthly benefits (SNAP Food Stamps, Medical Assistance) Current custody arrangement Documentation of foster care or kinship care placement Documentation of guardianship [Bright Futures program] Child's Individualized Education Plan (IEP), Evaluation Report (ER), Individualized Family Service Plan

(IFSP) from an Early Intervention provider (Child Link, ELWYN, ELWYN Seeds)

Early Head Start letter

Page 3

PRESCHOOL INFORMATION

1. Operation of The School District's preschool programs is contingent upon The School District of Philadelphia receiving Federal and Pennsylvania Pre-K Counts funds. If it becomes necessary to make changes to the program, or if changes occur to the eligibility requirements, applicants' families will be notified by mail.

2. An in-person interview is required for all families applying to the Head Start program.

3. Selection process for School-Based programs: a. Eligible children are selected for enrollment based on the child's age, family income and the family's need for preschool services. i. Children are selected for acceptance to the Bright Futures program by lottery. b. Locations and preference order listed in Section 1 on Page 9 of this Preschool Application determines which location is chosen for an accepted child. i. If Head Start is the preschool program offered in a location, then the family is applying for Head Start funding; ii. If Bright Futures is the preschool program offered in a location, then the family is applying for PA Pre-K Counts funding; c. Children who are not selected for Head Start or Bright Futures enrollment, and who are not accepted to another preschool program, are placed on the 2016-2017 Preschool Waiting List. d. Parents/Guardians who submit a complete application on or before March 31, 2016 will be notified by mail of their child's acceptance or wait-list status on or before June 30, 2016. e. Parents/Guardians who submit a complete application after March 31, 2016 will be notified by mail of their child's acceptance or wait-list status within eight (8) weeks following the date their child's application is processed.

4. Selection process for Community Partner programs: a. Please contact the specific Community Partner for information.

5. Proper nutrition reinforces lifelong eating habits that contribute to a child's overall well-being and helps them to grow up strong and healthy. The School District of Philadelphia sponsors the Child and Adult Care Food Program (CACFP) to provide daily nutritious meals and snacks to enrolled preschool children at no cost to parents/guardians. A substitute food item is offered to children with a specific food allergy. The enclosed Form #4 and Form #5 are for the CACFP program. A representative from The School District of Philadelphia will review the information on your CACFP forms and, if necessary, return them to you for clarification or completion. The information you provide on your CACFP forms will be held in strict confidence within The School District of Philadelphia. To ensure the safety of our students with food allergies, children are not allowed to bring food and/or beverages to school. Foods containing pork, peanuts or tree nuts will never be offered to your child. If you need assistance in completing the CACFP forms, or if you have questions concerning how the information on these forms will be used, please contact the Office of Early Childhood Education at 215-4004270.

Page 4

THE SCHOOL DISTRICT OF PHILADELPHIA OFFICE OF EARLY CHILDHOOD EDUCATION 440 N. BROAD STREET PHILADELPHIA, PENNSYLVANIA 19130-4015

2016-2017 SCHOOL-BASED PRESCHOOL LOCATIONS Locations are listed in Zip Code

IF YOU WANT TO APPLY TO ONE OF THESE LOCATIONS, SUBMIT YOUR CHILD'S APPLICATION TO THE SCHOOL DISTRICT OF PHILADELPHIA, 440 N. BROAD STREET, SUITE 170, PHILADELPHIA, PA 19130.

NAME

ADDRESS

McMichael Elementary School Holme Elementary School Loesche Elementary School Emlen Elementary School Lowell Elementary School T. Marshall Elementary School Blaine Elementary School W.D. Kelley Elementary School Meade Elementary School McKinley Elementary School Hackett Elementary School Ellwood Elementary School Shawmont Elementary School Cook-Wissahickon Elem. School Mifflin Elementary School Bache-Martin Elementary School Blankenburg Elementary School Heston Elementary School Dr. Ethel Allen Promise Academy Pratt Early Childhood Center Wright Elementary School Hunter Elementary School Webster Elementary School Lawton Elementary School Lincoln High School Forrest Elementary School A.B. Day Elementary School

Pennypacker Elementary School Haverford Center Barry Elementary School

3543 Fairmount Ave. 9120 Academy Rd. 595 Tomlinson Rd. 6501 Chew Ave. 450 W. Nedro Ave. 5120 N. 6th St. 3001 W. Berks St. 1601 N. 28th St. 1600 N. 18th St. 2101 N. Orkney St. 2161 E.York St. 6701 N. 13th St. 535 Shawmont Ave. 201 E. Salaignac St. 3624 Conrad St. 2201 Brown St. 4600 W. Girard Ave. 1621 N. 54th St. 3200 W. Lehigh Ave. 2200 N. 22nd St. 2700 W. Dauphin St. 144 W. Dauphin St. 3400 Frankford Ave. 6101 Jackson St. 3201 Ryan Ave. 7300 Cottage St. 1201 E. Johnson St. 1858 E. Washington La. 4601 Haverford Ave. 5900 Race St.

ZIP SECTION of PHILADELPHIA

CODE

(Refer to the enclosed map)

PRESCHOOL PROGRAM OFFERED

19104 West

Head Start

19114 Upper Northeast

Head Start

19116 Upper Northeast

Bright Futures

19119 Germantown/Chestnut Hill

Head Start

19120 Olney/Oak Lane

Bright Futures

19120 Olney/Oak Lane

Head Start

19121 Lower North

Head Start

19121 Lower North

Head Start

19121 Lower North

Head Start

19122 Lower North

Head Start

19125 Kensington

Head Start

19126 Olney/Oak Lane

Head Start

19128 Roxborough/Manayunk

Bright Futures

19128 Roxborough/Manayunk

Head Start

19129 Germantown/Chestnut Hill

Head Start

19130 Lower North

Bright Futures

19131 West

Head Start

19131 West

Head Start

19132 Upper North

Bright Futures

19132 Upper North

Head Start

19132 Upper North

Head Start

19133 Upper North

Head Start

19134 Bridesburg/Kensington/Richmond Head Start

19135 Lower Northeast

Head Start

19136 Upper Northeast

Bright Futures

19136 Upper Northeast

Bright Futures

19138 Olney/Oak Lane

Head Start

19138 Olney/Oak Lane 19139 West 19139 West

Head Start Bright Futures Head Start

2016-2017 SCHOOL-BASED PRESCHOOL LOCATIONS, continued

NAME

ADDRESS

Lea Elementary School Cleveland Mastery Charter School

McClure Elementary School Edison High School Bethune Elementary School Cramp Elementary School Mu?oz-Mar?n Elementary School Steel Elementary School Logan Elementary School Pennell Elementary School Prince Hall Elementary School Catharine Annex Patterson Elementary School Anderson Elementary School Bryant Elementary School Longstreth Elementary School Turner Center Wister Elementary School Bregy Elementary School E. Vare Universal Charter School E.M. Stanton Elementary School Childs Elementary School Nebinger Elementary School Jackson Elementary School Kirkbride Elementary School A. Vare @ George Washington Sch. South Philadelphia High School Sharswood Elementary School Southwark Elementary School Taggart Elementary School Spruance Elementary School F.S. Edmonds Elementary School Rhawnhurst Elementary School

4700 Locust St. 3701 N. 19th St. 600 W. Hunting Park Ave. 151 W. Luzerne St. 3301 Old York Rd. 3449 N. Mascher St. 3300 N. 3rd St. 4301 Wayne Ave. 1700 Lindley Ave. 1800 Nedro Ave. 6101 N. Gratz St. 6900 Greenway Ave. 7000 Buist St. 1034 S. 60th St. 6001 Cedar Ave. 5700 Willows Ave. 5900 Baltimore Ave. 67 E. Bringhurst St. 1700 Bigler St. 2100 S. 24th St. 1700 Christian St. 1599 Wharton St. 601 Carpenter St. 1213 S. 12th St. 1501 S. 7th St.

1198 S. 5th St. 2101 S. Broad St. 2300 S. 2nd St. 1835 S. 9th St. 400 Porter St. 6401 Horrocks St. 8025 Thouron Ave. 7809 Castor Ave.

FitzPatrick Elementary School

4101 Chalfont Dr.

ZIP CODE

SECTION of PHILADELPHIA

(Refer to the enclosed map)

19139 West

19140 Upper North

PRESCHOOL PROGRAM OFFERED

Head Start Bright Futures

19140 Upper North 19140 Upper North 19140 Upper North 19140 Upper North 19140 Upper North 19140 Upper North 19141 Olney/Oak Lane 19141 Olney/Oak Lane 19141 Olney/Oak Lane 19142 Southwest 19142 Southwest 19143 Southwest 19143 Southwest 19143 Southwest 19143 Southwest 19144 Germantown/Chestnut Hill 19145 South 19145 South 19146 South 19146 South 19147 South 19147 South 19147 South

Bright Futures Bright Futures Head Start Head Start Head Start Head Start Head Start Head Start Head Start Head Start Head Start Bright Futures Head Start Head Start Head Start Bright Futures Head Start Head Start Bright Futures Head Start Bright Futures Head Start Head Start

19147 South 19148 South 19148 South 19148 South 19148 South 19149 Lower Northeast 19150 Olney/Oak Lane 19152 Lower Northeast

19154 Upper Northeast

Head Start Head Start Head Start Head Start Head Start Head Start Bright Futures Bright Futures Bright Futures + Head Start

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