Westbrook School Department & The Opportunity Alliance’ Public Pre-Kindergarten Program – Application for 2017-2018 School Year This FREE public pre-kindergarten program is available at the Westbrook Community Center and is subject to approval of the program by the Westbrook school committee and the funding. If you are interested in having your four year old attend this program in 2017-2018, please complete the following pre-application: Name of Child: ________________________________________________________ Name of Parent/Guardian: ______________________________________________ Address: ______________________________________________________________ Phone: ____________________________________ Email: _______________________________________________ Child’s Date of Birth: __________________ (The child must be 4 years old on or before October 15, 2017 to be eligible for the program.) Is your child presently enrolled in a Head Start Program?

Yes

No

Please return this application by June 2nd, 2017 to the address listed below: The Opportunity Alliance Family & Early Childhood Education Program Attn: Linda Goyet 215 Congress St. Portland, ME 04101 **You may also apply over the phone, Please call Linda Goyet at 553-5816 by June 2nd, 2017. **This is just an initial pre-application, you will receive a call from Linda Goyet to continue the application process

This program is a cooperative effort between The Opportunity Alliance’s Head Start Program and the Westbrook School Department. In some instances, family income does not determine whether or not a child is allowed to enroll. However, we do have to determine which children are Head Start eligible and so family income will need to be collected for the Head Start applicants.

After the June 2nd deadline, children will be randomly selected from the pool of applicants to fill available spaces in the preschool classes. Parents will be contacted as soon as possible after available spaces are filled.