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The checklist includes a fully completed, signed, and dated application form; documentation proving child eligibility through specific income categories; and supporting identity records such as proof of birth, immunization, Social Security card, and proof of address. It also covers health screening and insurance, prior program enrollment questions, other eligibility qualifications, and special circumstances including foster care, incarceration-related circumstances, homelessness, and deployed parent situations.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/abc-preschool-application-checklist/302702/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/abc-preschool-application-checklist/302702.png","ImageObject",442,249,{"name":88,"@type":89},"Mia  ","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-09-27","2026-09-19",true,{"@type":98,"interactionType":99,"userInteractionCount":79},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"What happens if an application is incomplete?","Question",{"text":108,"@type":109},"Incomplete applications will not be processed.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"Which documents are required to prove the child’s eligibility based on income?",{"text":113,"@type":109},"Submit one of the listed income options such as consecutive pay stubs within 30 days, the 2025 Federal Tax Form 1040, 2025 W-2, SNAP/Medicaid ARKids A proof dated within 30 days, or other specified verification letters and statements.",{"name":115,"@type":106,"acceptedAnswer":116},"What special circumstances have separate document requirements?",{"text":117,"@type":109},"Special circumstances include foster children, incarcerated parent or immediate family members, children living with someone other than the parent, homeless or transitional living situations, and parents deployed overseas, each requiring specified court, DHS, law enforcement, residency, shelter, or military deployment documents.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},302702,1790240654,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":79,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":135,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":140,"read_time":79},687207024478,"https://ap-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd","Phone\\#  \nAddress  \naddress  \nEmail  \n# DMESC ABCPreschool Application Checklist\n\nPlease ensureall required items are submitted.Incomplete applications will not be processed.  \n## □1.Completed Application\n\n● Application form is fully completed,signed,and dated.  \n## □2.Documentation of Child Eligibility\n\nPlease submit documentation for one of the categories below.(Other Eligibility Qualificationson back of page)  \n## Income Eligibility-submit ONE (1):\n\n·□ One month of consecutive pay stubs dated within the last 30 days  \n●  □ 2025 Federal Tax Form 1040  \n●□2025 W-2(Box 1)  \n● □Self-employed/Farmers:20251040+Schedule C or F  \n● □Proof of SNAP or Medicaid ARKids A(dated within 30 days)  \n● □ Letter from DHS caseworker verifying household income  \n● □No earned income statement (signed &notarized)  \n## □3.Proof of Birth\n\n● Copy of birth certificate,hospital record,or official verification.  \n## □4.Immunization Record\n\n● Copy of current immunizations or proof of immunization status.  \n## □5.Social Security Card\n\n● Copy of child's Social Security card.  \n## □6.Proof of Address\n\n● Copy of current utility bill showing physical address.  \n## □7.Health Screening\n\n● Completed well-child checkup form.  \n## □8.Insurance\n\n● Copy of ARKids or insurance card.  \n## Previous Program Enrollment\n\nHas your child been enrolled in another ABC Preschool or HIPPY Program?  \n□Yes □ No  \nIf yes,please list program name:  \n## Other Eligibility Qualifications:\n\n●□ Parent without a high school diploma or GED  \nNote:  \nAn enrollment packet of additional forms will be completed upon acceptance into theprogram.  \nPreschool  \nABC  \n●□Low birth weight (below 5 Ibs.9 oz.)  \n● □ Parent was under 18 years old at child's birth  \n·□ Immediate family history of substance abuse/addiction  \n·□ Parent history of abuse or neglect/victim of abuse or neglect  \n·□Developmental delay (screening &scores signed by SPED or teacher)OR referral byparent,teacher,or PCP  \n● □ Eligible under IDEA(IEP)  \n●□Limited English Proficiency  \n## Special Circumstances(if applicable):\n\n### ● Foster Child (at enrollment):\n\no □ Court record  \no □ DHS documentation  \n### ● Incarcerated parent or immediate family member(drug-related offense):\n\no □Law enforcement documentation  \no □ Court document  \no □Department of Corrections documentation  \no □Newspaper article  \n·Child living with someone other than parent:  \no □ Court record  \no □DHS documentation  \no □Notarized statement(child resides with guardian;parents not in home)  \n### ● Homeless or Transitional Living Situation:\n\no □Letter from Family Service Worker  \no □ Residency form signed by parent &McKinney-Vento Liaison  \no □Notarized shelter/transitional living statement  \n### ● Parent deployed overseas(at enrollment):\n\no □Military deployment orders  \no □Department of Defense deployment notification letter  \n| ARKANSAS BETTTER CHANCE FOR SCHOOL SUCCESS  \u003Cbr>Child Application/Enrollment Form  \u003Cbr>better beginnings  \u003Cbr>(VEBYCHILD DESERVE50UB D5T   |  |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- |\n| Primary Caregiver Information  \u003Cbr>(Parent or Guardian that has the most contact with child)   |  |  |  |  |  |  |\n| Name(First,Middle,Last)   |  |  |  |  | Ethnicity:Hispanic(Yes or No)   |  |\n| Date of Birth:  \u003Cbr>SSN:   |  |  |  |  | Race:   |  |\n| Gender:M/F  \u003Cbr>Email address:   |  |  |  |  | Language:   |  |\n| Cell phone:  \u003Cbr>Relationship to child:   |  |  |  |  |  |  |\n| Marital Status:Single/Married/Divorced/Widowed   |  | Food Stamp/SNAP:Yes or  \u003Cbr>No   |  |  |  | Receiving WIC:Yes or No   |\n| Physical Address:   |  |  |  |  |  |  |\n| Home Mailing Address:   |  |  |  |  |  |  |\n| City:   | State:   |  | Zip:   |  |  | County:   |\n| Employment status (Circle one):Ful-time,Part-time,Homemaker,Enrolled in college,Retired or Disabled,  \u003Cbr>Self-employed,Unemployed,Farmer   |  |  |  |  |  |  |\n| Employer/School Name:   |  |  |  | Work phone number:   |  |  |\n| Education level (Ciicie one):Did not complete High School,GED,High Scho","cbCaibd5oYfIe12O","https://ap.wps.com/l/cbCaibd5oYfIe12O","pdf",2994426,10,"English","# Required Submission Items\n## 1. Completed Application\n## 2. Child Eligibility Documentation\n### Income Eligibility\n## Proof of Identity and Medical Records\n## Proof of Address and Health Screening\n## Insurance\n## Previous Program Enrollment\n## Other Eligibility Qualifications\n## Special Circumstances","[{\"question\":\"What happens if an application is incomplete?\",\"answer\":\"Incomplete applications will not be processed.\"},{\"question\":\"Which documents are required to prove the child’s eligibility based on income?\",\"answer\":\"Submit one of the listed income options such as consecutive pay stubs within 30 days, the 2025 Federal Tax Form 1040, 2025 W-2, SNAP/Medicaid ARKids A proof dated within 30 days, or other specified verification letters and statements.\"},{\"question\":\"What special circumstances have separate document requirements?\",\"answer\":\"Special circumstances include foster children, incarcerated parent or immediate family members, children living with someone other than the parent, homeless or transitional living situations, and parents deployed overseas, each requiring specified court, DHS, law enforcement, residency, shelter, or military deployment documents.\"}]","ABC Preschool Application Checklist | PDF",1789795913]