JA Preschool Program

Shawn Heimlich, Director of Special Services

Denise English, Administrative Assistant

Office: 9200 US Rt. 42       Plain City, OH 43064

Phone: 614-873-8617     Fax: 614-873-8462

INFORMATIONAL BROCHURE

HOW TO APPLY

PRESCHOOL 2015-2016 CALENDAR

ABOUT OUR PRESCHOOL PROGRAM

  • Peer Mentor Program
  • Skilled Expectations of a Peer Mentor

  • Components of a Peer Mentor Observation/Screening

  • Classroom Structure

  • Suspected Developmental Delays Process

  • Help Me Grow

 

REQUIRED DOCUMENTS DUE AT SCREENING

  • Birth Certificate
  • Social Security Card
  • Immunization Records
  • Proof of Residency (utility bill or Res?idency Affidavit)
  • Proof of Income (report all working members of the household; tuition is based on a sliding fee scale; need: copy of last 3 months pay stubs, W2 or 1040-Tax Form) 

Poverty Guidelines  (complete and return with required documents due at screening; only Poverty Levels are reported, no dollar amounts)

Residency Affidavit  (complete and return with required documents due at screening if you are living with someone for proof of residency)
 

PAPERWORK TO COMPLETE UPON ACCEPTANCE



Forms listed below are for children who must have medication during their school day.  Please read carefully and fill out completely. Physician signatures required.

Asthma Inhalers or Epinephrine Autoinjectors

Physician-Parent Report to Administer Medication at School


Form listed below must be completed if you choose not to have your child vaccinated.

Immunization Waiver Religious or Philosophical Exemption Forms

Other Preschool  Options--Provided for you in the case that your child does not get into the JA Little Settler's Preschool Program