Preschool Student Enrollment

Early Childhood Education > Preschool Programs (4 and 3-year-olds) > Preschool Student Enrollment > Form

Congratulations! You are enrolling in one of Minnesota’s leading early childhood programs for your young child! You are taking the next step on their path of learning and development and the school system is there to support you (as you request) each step of the way.

Your school district is requesting personally identifying data about your family that is similar to the same data for students enrolled in Kindergarten through 12th grade. Data will always be handled and protected by state and federal education data privacy laws. Only aggregated information will be published that does not identify individual children.

The information from this data will help Minnesota Department of Education (MDE) show how investments in young children help to increase their school readiness, help to increase later reading and math scores as well as leading to lifelong success.

	Child's Information
First Name

Middle Initial

Last Name

Birthdate

Address

City:

Zip code:

Home Phone:

Work Phone:

Cell Phone:

	Parent/Guardian Information
First Name

Middle Initial

Last Name

Date of Birth

Please indicate whether you are this child’s:

Your highest level of school completed.

What is your current job status?

What was your household’s total yearly income, before taxes last year, rounding to the nearest thousand?

How many people were in your household last year?

Do you need an interpreter?

Do you (Parent or Guardian) want to volunteer during the school year? Required by MDE:

* denotes a required field

Submit