25/26 PreK Qualification Form v7.25

25/26 PreK Qualification Form

Version 7.8.25
Before you begin this online form, please make sure you have the CORRECT documents SCANNED into PDF format. Pictures of documents and screenshots may not be accepted.

Documents you should have ready to upload in PDF format:
1. ASPIRE Application (embedded below)
2. Child's Birth Certificate, OR Passport, OR Certificate of Live Birth
3. One of the following for Income Verification
  - Previous Year Tax return
  - One month of paystubs from the latest previous month
  - W2
  - Notarized letter stating no income
We NO LONGER ACCEPT the following for Income Verification:
- Scholarship documentation
- SNAP Cards or benefit letter
- WIC Cards
- Medicaid Cards or benefit letter
4. If your child is an English Language Learner, you must upload a copy of the Home Language Survey (embedded below).

5. If your child has an IEP or IFSP, you must upload a scanned copy of the document.
ASPIRE Application
Home Language Survey.
ERN*
Educator's Full Name

First NameLast Name
Educator's Email
example@example.com
Child's Full Legal LAST Name*
Child's Full Legal FIRST Name*
Child's Full Legal MIDDLE Name*
Enter N/A if none
Child's Generational Indicator (if any)
Jr., II, III, IV, etc.
Family's Address*

Street Address

Street Address Line 2

City

Postal / Zip Code
Family's County of Residence*
Child's Date of Birth*

MonthDayYear
Date
Child's Age (3, 4, or 5)*
Child MUST be 3 by September 1
Child's Gender*
Child's Race*
Primary Language Spoken in Home*
Is the child receiving Special Education Services (IEP/IFSP)?*
Is the child from a Migrant Family?*
Is the child Homeless?*
Defined as a child who lacks a fixed, regular, and adequate nighttime residence.
Is the child served in the Foster System?*
Is the child from a Military Family?*
Household Size:*
Household Size is the total number of children and adults in the home.
Annual Income*

Date when PreK services will start:*

MonthDayYear
Date
ASPIRE Application*

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Child's Birth Certificate*

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What document will you be using to verify income?*

Previous Year Tax returnOne month of paystubs from the latest previous monthW2Notarized letter stating no incomeOther
You have indicated "Other" for your income verification documents. Please Save this form and email Jody.lamberti@fccamd.org to determine if your documentation is acceptable.
Income Verification*

Tax Return, W2, one month of paystubs
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IEP/IFSP*

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Home Language Survey*

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Please sign below: I hereby affirm that, to the best of my knowledge, all the documents provided are true and accurate. I have provided them honestly and in good faith.*

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