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Universal Pre-Kindergarten Interest Form
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Parents who have a child/children residing in the Levittown School District and have attained the age of four years on or before December 1 are invited to apply for admission, on behalf of their child, to the Universal Pre-Kindergarten Program.

The program is a half day program which will be housed at one of our UPK providers beginning in September for 180 days through June roughly coinciding with the Levittown School District calendar.

The program has limited space and participants will be chosen during a random lottery selection process.

A waiting list will be established to fill any vacancies that may arise.

All students must be potty trained by the start of school in September.

If you are interested, please fill out this form. Forms must be submitted no later than Monday, March 6th by 4PM

Submitting this form does NOT guarantee a place in the program. Those selected in the random lottery process will be notified by mail and must complete a district registration packet in order for placement to be finalized.

This program is fully funded by a New York State Department of Education grant. All placements in the program are fully contingent upon the continued reauthorization of Universal Pre-Kindergarten grant.

Universal Pre-Kindergarten Interest Form
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STUDENT INFORMATION
FIRST NAME*
LAST NAME*
DATE OF BIRTH*
PARENT/GUARDIAN INFORMATION
MOTHER'S FIRST NAME*
MOTHER'S LAST NAME*
CELL PHONE
FATHER'S FIRST NAME*
FATHER'S LAST NAME*
CELL PHONE
HOME ADDRESS*

HOME PHONE*


CITY*

STATE*

ZIP*

CONFIRMATION E-MAIL ADDRESS*

An e-mail address must be submitted to receive a confirmation. If you do not receive a confirmation within 24 hours please contact Arlene Mege at: (516) 434-7058.