MCS PreKForm - SAU 70

Email Addressrequired

Student Namerequired

First Name

Last Name

Date of Birthrequired

Must contain a date in M/D/YYYY format

Parent Namerequired

First Name

Last Name

Physical Addressrequired

Contact phone number:required

Are one of the guardians of the child a resident of Norwich?

Is the student currently enrolled at the Marion Cross School Preschool?

Does the student have a diagnosed developmental delay(s) or disability **Please note, you will be required to provide documentation of the developmental delay or disability. All documents will be kept confidential.

Check any of the following boxes that may apply to your student *If you are uncertain if this applies to your student, please check the box and Mr. Gonyaw or Mr. Bagnato will follow up with you.required

The student experiences homelessness (individuals who lack a fixed, regular, and adequate nighttime residence)

The student is a dual language learner (needing English language learning supports)

he student is placed in foster/kin care

The student is an eligible migrant student

The student's family qualifies for free and reduced meals

None of these descriptors apply to my student.

Check any of the following boxes that may apply to your student *required

The student has a sibling currently enrolled at Marion Cross School

The student has a parent or guardian currently working at the Marion Cross School

None of these descriptors apply to my student.

If you have any other comments or questions, please add them below.

Terms of Servicerequired

I agree to the Terms of Service

I understand that by filling this form out my child is not guaranteed a spot. Families selected will be notified by the first week in February of their acceptance in the program. Once accepted, you will fill out the Resident Enrollment form. A link will be provided to you.

PreK orientation is held in May. Information will be sent to parent(s)/guardian(s).

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MCS Pre-Kindergarten Application Form