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Form AWI-VPK 02 Eligibility and Enrollment 02-14-2007.doc-2026
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- Click ‘Get Form’ to open it in the editor.
- Begin by filling out the 'Certificate of Child Eligibility' section. Enter the VPK program year, certificate number, and issue date. Ensure you select whether this is a new enrollment or re-enrollment.
- Provide the parent or guardian's name, daytime and home telephone numbers, and complete the home address fields including city, state, and ZIP+4 code.
- Fill in the child's full name, social security number (if applicable), and date of birth. Choose the program type: either school-year or summer program.
- In the 'Admission by Provider or School' section, enter the provider or school's name, contact details, address of the VPK site, class designation, and start date for attendance.
- Ensure both provider/school and parent/guardian signatures are completed along with their respective dates.
- Finally, review all entries for accuracy before submitting. Save your completed form for your records.
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