Pre-Applications are being accepted for families in Allen, Bartholomew, DeKalb, Delaware, Elkhart, Floyd, Grant, Harrison, Howard, Jackson, Kosciusko, Lake, Madison, Marshall, Monroe, St. Joseph, Tippecanoe, Vanderburgh and Vigo counties. If you are attempting to enter an application for Marion County, please click here

Family Information


*Parent First Name: *Language Spoken in Home:
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*Parent Last Name: *County of Residence:
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*Parent Date of Birth:
RadDatePicker
RadDatePicker
Open the calendar popup.
*Family Size: Info
*Family's Monthly Earned Income: Info
*Family's Monthly Unearned Income: Info
Licensed Foster Care:
Are the parent(s)/guardian(s) of the child(ren) applying:

*How did you hear about
On My Way Pre-K?
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*Phone

NumberTypePrimary
Home Phone
Cell Phone

*Email Address

N/A




* You must include your current mailing address and a phone number and/or email address at which you can be contacted.

Mailing Address


*Address 1:
Address 2:
*City:
*State / Territory: Indiana
*County:
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*Zip Code:


Child Information



* If your child receives a Pre-K Grant we will mail you a notification and call you to set an appointment time with your local Intake Agent to complete
your child's enrollment in an approved Pre-K Program.  If we cannot reach you by mail, phone or email, you will forfeit your grant.

*Children Applying for Pre-K Grant

Info
At least one child is required




Additional Questions


*


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