HUNTINGTON UNION FREE SCHOOL DISTRICT UNIVERSAL PRE-KINDERGARTEN APPLICATION FORM

The Huntington Union Free School District is pleased to offer a Universal Pre-kindergarten (UPK) program for the 2018-2019 school year. Please complete this form to enter the UPK lottery selection.

PROGRAM DETAILS:  The UPK program will follow the 2018-2019 Huntington school calendar.  It is a half-day program (2½ hours per day) that will meet five days per week.  A total of 119 seats will be available, split between AM and PM sessions, at district primary schools (Flower Hill, Jefferson, Southdown and/or Washington). There will also be 5 seats available at the Developmental Disabilities Institute (DDI).  Students will be selected via random lottery (required by New York State) and only one application will be accepted per child. The lottery, if needed, will be held on Thursday, May 10, 11:30 AM, in the Jack Abrams STEM Magnet School auditorium. Notifications will be sent by mail after the lottery is held.  You may indicate preferences for AM/PM, however it may not be possible to honor all preferences. Depending upon the interest expressed on this application, one school may be designated as an “extended-day” site.  Registration will occur following lottery and notifications. Residency documentation will be required during the registration process.  Transportation will be available to the district primary school sites only.

ELIGIBILITY REQUIREMENTS:  Child must reside within Huntington Union Free School District boundaries.  Child must have been born between 12/2/2013 and 12/1/2014.

PLEASE SUBMIT ELECTRONICALLY, MAIL or DROP OFF the completed form by no later than April 30, 2018.  Electronic form can be accessed at https://goo.gl/forms/RAw3VeKmbYx6onhI3.  Mail: Huntington Union Free School District P.O. Box 1500 Huntington, NY 11743 Attn: UPK Application  Drop-off with District Clerk (Superintendent’s Office) – Jack Abrams School Administration Wing

QUESTIONS? Contact Nancy Allard at (631) 673-4294 or [email protected].

HUNTINGTON UNION FREE SCHOOL DISTRICT UNIVERSAL PRE-KINDERGARTEN (UPK) APPLICATION (2018-2019)

CHILD’S NAME: ______First Last

DATE OF BIRTH: ______/______/______(Copy of birth certificate will be required at registration.)

NAME(S) OF PARENT(S)/GUARDIAN(S): ______

HOME ADDRESS: ______Street Town Zip Code

HOME PHONE: ______CELL PHONE: ______

WORK PHONE: ______E-MAIL ADDRESS: ______

AM/PM PREFERENCE: AM PM (NOTE: Choice for selected students cannot be guaranteed.)

IF AVAILABLE, WOULD YOU BE INTERESTED IN AN EXTENDED-DAY PROGRAM AT A COST? YES NO

PLEASE SUBMIT ELECTRONICALLY, MAIL or DROP OFF the completed form by no later than April 30, 2018.  Electronic form can be accessed at https://goo.gl/forms/RAw3VeKmbYx6onhI3.  U.S. Mail: Huntington Union Free School District P.O. Box 1500 Huntington, NY 11743 Attn: UPK Application  Drop-off with District Clerk (Superintendent’s Office) – Jack Abrams School Administration Wing

QUESTIONS? Contact Nancy Allard at (631) 673-4294 or [email protected]