Pre-K Counts Scholarship Application

The person completing this application must attach copies of documents used to verify income with submission of application. Applications submitted without income will be considered incomplete.

Income includes: Earned income: gross wages from work/cash-in-hand/self-employment. Unearned income: alimony, child support, military family allotments, pensions, public assistance, Supplemental Security Income (SSI). Unearned benefits: worker's compensation, unemployment, lottery winnings, retirement benefits.

Income verification: pay stubs, W-2s, Internal Revenue Service tax forms, or written employer statement of anticipated earnings. Self-employment: tax returns, business records. Benefit check, bank statement, court order.

Please check all boxes that pertain to your family:

Other Child Eligibility Risk Factor Criterion (Must check all that apply. Verification is required for each risk factor identified.):

This application will be considered incomplete if not submitted with proof of income and verification of any additional child risk factor criterion.

Congratulations, you are considering one of the most valuable experiences for your child that is available in early childhood education today. Begin With Us will provide your child with a strong foundation for learning with passionate teachers, hands on experiences, and developmentally appropriate curriculum. We encourage you to learn more about our program and your place as a parent in our learning community through our website: www.beginwithus.net

In order to better allow us to get to know your child, please complete the following four (4) questions: