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2022-23 Voluntary Pre-Kindergarten Information and Application

Voluntary Pre-Kindergarten Information

Hello and welcome to the Voluntary Pre-Kindergarten informational page and application. Thank you for your interest! Collierville Schools is currently waiting for state funding, determined by the Tennessee Department of Education, for Voluntary Pre-K. Once the state has announced its grant recipients, Collierville Schools will know how many Voluntary Pre-K classrooms we are permitted. 

Voluntary Pre-K is an educational program that school districts may apply for on an annual basis and is funded by state and local funds. The purpose of the program is to provide your four-year-old child(ren), identified as being educationally and economically at-risk, with the access to a quality educational environment, in hopes of preparing he or she for future educational success. The program is of no cost to the parent(s)/caregiver(s).

We are beginning the screening process now for the 2022-23 school year, screening will be completed electronically by submitting the form below. Applicants must reside in Collierville, TN and be FOUR (4) years of age on or before August 15, 2022.

Please complete the form below for the 2022-23 VPK application. Required fields are marked with an asterisk.*

2022-23 Voluntary Pre-K Application

Child's Information:

Gender:*
Answer Required
Race:*
Please choose one or more
Answer Required
Does your child have an Individualized Education Program (IEP) or 504 plan?*
Answer Required
Has your child ever been enrolled in a Tennessee School?*
Answer Required
Is the above address a shelter or temporary living situation?*
Answer Required
Has your child received early intervention services in the home or at a center?*
Answer Required
Has your child been evaluated or in the process of being evaluated for special education services?*
Answer Required
Does your child receive any of the following services?*
Please select all that apply.
Answer Required
Do you have speech concerns for your child?*
Answer Required
Has your child been enrolled in preschool?*
Answer Required

Family Information:

Family Status:*
Answer Required
Employment Status - 1st Parent/Legal Guardian:*
Answer Required
Employment Status - 2nd Parent/Legal Guardian:*
Answer Required
Are you receiving WIC?*
Answer Required
Are you receiving Families First (TANF)?*
Answer Required

Required Document Uploads:  

Upload your child's Birth Certificate:*
Upload your child's birth certificate. (Mother's Copy is not accepted.)
Answer Required
or drag it here.
Upload your child's social security card:*
Answer Required
or drag it here.
Upload your child's Physical and Immunization Record:*
This document should be on a Tennessee form.
Answer Required
or drag it here.
Upload Two (2) Proofs of Residence Documents below:*
Examples may include: driver's license, public/government benefits or assistance, sales contract (contingency agreements not accepted), real estate tax receipt, mortgage information, current MLGW bill or turn on receipt, municipal water bill, rental or lease contract.
Answer Required
or drag it here.
Upload Income Documents - 1st Parent/Legal Guardian:*
Proof of Income and/or status of current month's salary must be documented for all who work in household (check stubs, W-2, Income tax returns, letter of termination, unemployment eligibility, Federal assistance eligibility letter)
Answer Required
or drag it here.
Upload Income Documents - 2nd Parent/Legal Guardian:
Proof of Income and/or status of current month's salary must be documented for all who work in household (check stubs, W-2, Income tax returns, letter of termination, unemployment eligibility, Federal assistance eligibility letter)
Answer Required
or drag it here.
Upload Driver's License - 1st Parent/Legal Guardian:*
Answer Required
or drag it here.
Upload Driver's License - 2nd Parent/Legal Guardian:
Answer Required
or drag it here.
Upload documents related to special services:
*If you receive services through Collierville Schools, you do not need to upload documents. If applicable, please upload documents related to special services: IEP (Individualized Education Program), Occupational Therapy (OT), Physical Therapy (PT), Speech, and etc.
Answer Required
or drag it here.
Select the school your child is currently zoned to attend. *
Answer Required
Parent/Legal Guardian Agreement:*
Read and select each item to acknowledge your agreement.
Answer Required
Confirmation Email
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