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2022-2023 EUSD Preschool Eligibility Form and Application

Please be sure to complete the Exeter Unified School District Preschool Application. This can be found in English and in Spanish.

Both forms can be uploaded to this page via the Upload box, below.

Eligibility List for Exeter Unified Preschool.

Please complete the form below. Required fields marked with an asterisk *

Please select:
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Parent/Child's Home Address

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Upload Completed Exeter Unified School District Preschool Application
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or drag it here.

English and Spanish Preschool Applications can be found in fillable PDFs, here.

I am requesting preschool services for the child listed above. In order to remain on the waiting list, I understand that it is my responsibility to update this information at least once every six (6) months or as changes occur. I understand that enrollment at this location is based on space availability, enrollment priority, and priority rank. When notified that space is available, I understand that EUSD preschool staff will verify all information on this form to make sure my child is eligible before he/she can be enrolled.*
Answer Required

To verify and determine eligibility for subsidized child care services, you must bring the following documentation to your certification appointment:

ELIGIBILITY VERIFICATION – Documentation must be provided for 1 or more of these categories:

  • Child Protective Services (CPS) or At-Risk Referral Letter
  • Self-Declaration of Homelessness or Homeless Referral Letter
  • Current Aid Recipient Verification (Example: Notice of Action or Passport for Services)
  • Guardian: Documentation of any income received for the child
  • Income Verification
  • Authorization to Release Employment Information (if applicable)
  • Income documentation from all sources
    • Predictable Income: Gross income for the month preceding
    • Unpredictable Income: Gross income for the preceding 3 to 12 months
    • If employment is seasonal, agricultural, includes bonuses or commission provide past 12 consecutive months of income

FAMILY SIZE VERIFICATION – At least 1 of the following documents must be provided for ALL children counted in the family size:

  • Birth Certificate
  • Passport for Services from the county welfare department
  • Adoption documents Records of Foster Care placement
  • Court orders regarding child custody or guardianship

RESIDENCY VERIFICATION – Proof that you live in the State of California, Exeter Unified School District.

  • Any evidence of your street address dated within the past 30 days

OTHER DOCUMENTATION – The following documents are also required:

  • Child’s immunization record for each child being enrolled
  • Infant & Family Service Plan (IFSP) or Individual Education Plan (IEP) (If applicable)
  • Court orders if they affect your child care days/hours (If applicable)

NOTE: We will not schedule you for an appointment until the application is COMPLETE.


Confirmation Email