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State of Rhode Island and Providence Plantations DEPARTMENT OF Shepard Building 255 Westminster Street Providence, Rhode Island 02903-3400

Angélica Infante-Green Commissioner Rhode Island Pre- Program 2020-2021 Lottery Application

The RI Pre-K Program is accepting applications from families with four year old children living in one of eleven eligible communities. These include Central Falls, Coventry, Cranston, East Providence, Johnston, Middletown, Newport, North Kingstown, North Providence, Pawtucket, Providence, Warren, Warwick, Westerly, West Warwick, and Woonsocket.

To find out more information about the RI Pre-K Program, please visit the RIDE Pre-K Programs Website.

The 2020 – 2021 RI Pre-Kindergarten Program sites are:

Central Falls Coventry

Central Falls District CHILD, Inc. Captain Hunt School 23 Cady Street 12 Kendall Street Coventry, RI 02816 Central Falls, RI 02863 401- 823-3228 401-727-7720 Coventry School Department Progreso Latino Washington Oaks Elementary 626 Broad Street 801 Read School House Rd Central Falls, RI 02863 Coventry, RI 02816 401-728-5920 401-391-1976

The Children’s Workshop 151 Hunt Street Central Falls, RI 02863 401-727-4474

Cranston Johnston

Comprehensive Community Action Program Graniteville School 848 Atwood Avenue 6 Collins Avenue Cranston, RI 02920 Johnston, RI 02919 401-427-4060 401-231-8790

Cadence Over The Rainbow 546 Budlong Road 1269 Plainfield Street Cranston, RI 02920 Johnston, RI 02919 401-228-3317 401-383-4664

Cranston Public Arlington School 155 Princess Ave. Cranston, RI 02920 401-270-8179 Middletown East Providence

East Bay Community Action Program East Bay Community Action Program 740 West Main Road 70 Turner Avenue Middletown, RI 02842 Riverside, RI 02915 (401) 619-1670 401-649-4233 Ext 100

Newport East Department Martin East Bay Community Action Program 111 Brown Street 8 John H. Chafee Blvd. East Providence, RI 02914 Newport, RI 02840 401-435-7500 Ext. 30034 401-367-2001 East Providence School Department Oldham School North Kingstown 60 Bart Drive East Providence, RI 02915 Sunshine Child Development Center 401-435-7500 Ext. 30034 11 Iafrate Way Applications available at 145 Taunton Ave. North Kingstown, RI 02852 401-294-3510 The Children’s Workshop 411 Narragansett Park Drive Rumford, RI 02916 401-434-1118 North Providence Warren

Tri-Town Community Action Agency The Children’s Workshop Tri-Town Head Start 410 Child Street 79 Waterman Avenue Warren, RI 02885 North Providence, RI 02911 401-247-2503 401-519-1979

Dr. Daycare 2 Volturno Street North Providence, RI 02904 401-723-7784

Warwick West Warwick

CHILD, Inc. Academy for Little Children 160 Draper Avenue 10 James P Murphy Ind Hwy Warwick, RI 02888 West Warwick, RI 02893 401-732-5200 401-823-5000

CHILD, Inc. CHILD, Inc. 849 Centerville Rd. 28 Payan Street Warwick, RI 02888 West Warwick, RI 02893 401-823-3777 401-828-2888

Pawtucket Westerly

Pawtucket School Department Tri County Community Action Fallon Memorial School 34 Pond St, Westerly, RI 02891 62 Lincoln Avenue 401) 596-7272 Pawtucket, RI 02861 401-729-6300 or 401-729-6365 Woonsocket (applications available at 286 Main Street) Woonsocket Head Start Pawtucket School Department Cass Park Center Nathaniel Greene School 350 Newland Avenue 235 Smithfield Avenue Woonsocket, RI 02895 Pawtucket, RI 02860 401-766-0112 401-729-6260 Woonsocket Head Start Children’s Friend and Service, Center Governor Aram J. Pothier Elementary School 13 Legion Drive 420 Robinson Street Pawtucket, RI 02860 Woonsocket, RI 02895 401-721-9209 401-769-1850

Dr. Daycare Woonsocket Head Start 25 Thornley Street Karen Bouchard Center Pawtucket, RI 02860 204 Warwick St. 401-722-7000 Woonsocket, RI 02895 401-769-1850 Heritage Park YMCA 333 Roosevelt Avenue Woonsocket Head Start Pawtucket, RI 02860 Bourdon Boulevard 401-727-2050 1 Bourdon Blvd Woonsocket, RI 02895 401-769-1850

Connecting for Children and Families 46 Hope Street Woonsocket, RI 02895 401-766-3384

YWCA Rhode Island 514 Blackstone Street Woonsocket, RI 02895 401-769-7450

Providence Providence

Beautiful Beginnings Genesis Center 700 Elmwood Avenue 620 Potters Avenue Providence, RI 02907 Providence, RI 02907 401-785-8485 401-781-6110

Beautiful Beginnings Imagine CCRI Liston Campus 520 Hope Street One Empire Street Providence, RI 02906 Providence, RI 02903 401-276-6129 401-276-4820

Over the Rainbow Children’s Friend and Service, Berkshire Center 50 Niantic Avenue 99 Berkshire Street Providence, RI 02907 Providence, RI 02908 401-383-0068 401-721-9209

Children’s Friend and Service, Friendship Center Meeting Street 350 Point Street 1000 Eddy Street Providence, RI 02903 Providence, RI 02905 401-721-9209 401-533-9100

Children’s Friend and Service, Hartford Center Providence Public Schools 550 Hartford Avenue Charles Fortes Elementary School Providence, RI 02909 234 Daboll Street 401-721-9209 Providence, RI 02907 401-278-0501

The Children’s Workshop Smith Hill Early Childhood Learning Center 15 Clarkson Street 25 Danforth Street Providence, RI 02908 Providence, RI 02908 401-383-9958 401-455-3890

To be eligible for RI Pre-K enrollment, children must:

• Turn 4 years of age on or before September 1, 2020; and • Live in the community in which the Pre-K program is located.

A copy of birth certificate, proof of residency, and proof of family total income will be required upon enrollment. Family total income must be verified to match what is reported in this application in order for child enrollment to be completed.

Total family income is defined as gross cash income (income before taxes or deductions) and includes earned income, military income (including pay and allowances), veterans’ benefits, Social Security benefits, unemployment compensation, and public assistance benefits.

Verification of all these elements may impact eligibility for the program, even if selected through the state supervised-lottery. As a result, please ensure all information is accurate before submitting an application.

Each will enroll 18 to 20 children. Children will be assigned to in their community of residence either randomly through the lottery, or in order, based on a waitlist.

When completing an application for communities that have more than one RI Pre-K program, families must prioritize their top 3 choices. If selected, you will have the option of accepting that seat, or being added to the waitlist for another program within that community.

Completed RI Pre-K lottery applications should be returned to the program of choice.

Please do not submit applications to the RI Department of Education.

Only one application per site will be accepted. Application information and program selections will be entered into the online lottery system. Once uploaded a confirmation email will be sent. If you do not receive a confirmation email, please follow up with the program.

Applications will be accepted through 11:59 pm on Sunday, July 5, 2020.

If you have questions, please contact the RI Pre-K team at [email protected]

Rhode Island Pre-Kindergarten Program 2020-2021 Application

By close of business July 5th deliver this application to the RI Pre-K program of your choice.

CHILD’S FULL NAME:

First Name: ______

Middle Name:______

Last Name: ______

CHILD’S HOME ADDRESS:

Street Address/Apt. # ______

City, State, Zip ______

CHILD’S DATE OF BIRTH: ______

CHILD’S GENDER: Male Female

GUARDIAN/PARENT INFORMATION:

Relationship to the child: ______

First Name:______

Last Name:______

Street Address/Apt. #______

City, State, Zip ______

TELEPHONE:______-______-______EMAIL: ______

ALTERNATE CONTACT INFORMATION:

Relationship to the child: ______

First Name:______

Last Name:______

Street Address/Apt. #______

City, State, Zip ______

TELEPHONE:_____-______-______EMAIL: ______

Child’s Race/Ethnicity (Select all that apply)

White

Hispanic

African American

Asian

Native American

Alaskan Native

Native Hawaiian

Pacific Islander

Other

What language(s) are spoken are spoken in the home? (Select all that apply)

English

Spanish

Portuguese

Mandarin

French

Other: (Please Indicate) ______

Is the child for which you are applying in foster care?

Yes

No

Does any member of the child’s household receive Supplemental Nutrition Assistance Program (SNAP) benefits, or RI Works (RIW) Cash Assistance? If selected by the lottery for enrollment, you will be required to submit dated documentation verifying eligibility/benefits.

Yes

No

Prefer not to answer

How many people live in your household? ______

How many are over 18? ______

What is your average monthly household income at the time of this application? This information will be verified if child is enrolled. To determine your gross monthly income, use the worksheet provided. When calculating your income, total all of the following sources: gross cash income (income before taxes or deductions) including earned income, military income (including pay and allowances), veterans’ benefits, Social Security benefits, unemployment compensation, and public assistance benefits.

$2,658 or below $2,659 - $3,349 $3,350 - $4,039 $4,040 - $4,730 $4,731 - $5,421 $5,422 - $6,111 $6,112 - $6,802 $6,803 - $7,493 $7,494 or above

Initial the boxes and sign below to show that you’ve read and agree to the following statements.

I attest the information provided is correct and I understand that filing documents containing false information with the government is illegal. (RIGL 11-18-1).

I understand that my income will be verified and must match what is reported in this application in order for child enrollment to be completed.

I commit to my child’s RI Pre-K participation for the duration of the program. I will drop off and pick up at the scheduled times and be responsible for providing transportation to and from the program. I understand before and after school services are available for a fee.

I understand that attendance is a priority in RI Pre-K and commit to my child’s ongoing and regular attendance. If my child is absent for unexcused reasons (family vacations, unexcused sick days) for 20 or more school days, I understand that my child may lose their Pre-K seat.

I confirm that I can be reached at the phone number and email listed in this application if my child is chosen by lottery to participate in the RI Pre-K program.

Guardian/Parent Signature ______

Date ______

Please rank in order from 1-3 your preference of programs within your community.

1. 2. 3.

To apply online, visit https://www3.ride.ri.gov/PKLottery or use the QR code below: