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You are submitting an application for the Norfolk Public Schools Preschool Program for school year 2022-2023.


BEFORE YOU APPLY; you will need to have your child’s birth certificate, proof of residency (lease, mortgage, utility bill - gas, water, or electric), and proof of income (pay stub, W2, SSI verification, unemployment, child support, etc.).

Please upload a birth certificate or passport for child.Question is mandatory 
GenderQuestion is mandatory
Race (select all that apply)Question is mandatory
Hispanic/LatinoQuestion is mandatory
Does Child Have an IEP?Question is mandatory
Do you have any concerns regarding your child's development?Question is mandatory
Please upload a birth certificate or passport for child.
Race (select all that apply)
Does Child Have an IEP?
Do you have any concerns regarding your child's development?
StateQuestion is mandatory
Please attach proof of address. (Lease, Mortgage, Utility Bill, or receipt of hotel)Question is mandatory 
Relationship to ChildQuestion is mandatory
Active MilitaryQuestion is mandatory
Are you employed?Question is mandatory
Relationship to Child
Active Military
Are you employed?
Check any of the following that apply to the adult(s) in your household.
How many people are currently in your household including yourself and anyone under the age of 18?Question is mandatory
Primary Household Language:Question is mandatory
Students accepted into the program are placed at their zone school. Out-of-Zone Requests are not accepted until after the school year begins and are based on space available. Norfolk Public Schools operates Three city-wide programs at Berkley Campostella Early Childhood Center and Willoughby Early Childhood Center. If interested in these programs, please indicate below. Checking the box(es) does not guarantee acceptance.
Our program works collaboratively with the Head Start program. If you are interested in having your information shared with them for possible placement in their program, please check the box.

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