Loading...

Editing previous response:

Please fix the highlighted areas below before submitting.

St. Landry Parish Coordinated Enrollment Application

St. Landry Parish Early Childhood Community Network Coordinated Enrollment Application

STUDENT INFORMATION

Race*
Answer Required
Gender*
Answer Required

Head of Household Physical Address

State*
Answer Required

Head of HouseHold Mailing Address

State*
Answer Required
Housing Type*
Answer Required
Has your child ever been evaluated for Special Education Services? (IFSP or IEP)*
Answer Required
Has your child ever received Speech Therapy Services? (IEP)*
Answer Required
Has your child ever received Early Intervention Services? (IFSP)*
Answer Required
Does you have any concerns about your child's development? *
Answer Required
Has your child ever received Special Education services? (IEP)*
Answer Required
Does your child have insurance?*
Answer Required
Does your child have Medicaid?*
Answer Required

PROGRAM/PARENT CHOICE

NOTE: St. Landry Parish Public Pre-K AND Head Start Centers place children according to school zones determined by the physical address of the family. If choosing a public school pre-k or a Head Start Center, please select the school your child is zoned for based on your physical address.

 

Please indicate your 1st, 2nd, and 3rd Choice
Answer Required
1st Choice
2nd Choice
3rd Choice
Cankton Elementary School
East Elementary School
Eunice Elementary School
Glendale Elementary School
Grand Coteau Elementary School
Grand Prairie Elementary School
Grolee Elementary School
Highland Elementary School
Krotz Springs Elementary School
Lawtell Elementary
Leonville Elementary
Northeast Elementary
Palmetto Elementary
Park Vista Elementary
Port Barre Elementary
Washington Elementary
Family Worship Christian Academy (Non-Public PreK)
Eunice Head Start Center
Grand Coteau Head Start/Early Head Start Center
Krotz Springs Head Start/Early Head Start Center
Lawtell Head Start/Early Head Start Center
Lebeau Head Start/Early Head Start Center
Leonville Head Start/Early Head Start Center
Melville Head Start/Early Head Start Center
Opelousas Head Start/Early Head Start Center
Port Barre Head Start/Early Head Start Center
Washington Head Start/Early Head Start Center
The Apple Tree (Eunice Area)
Dreamers' Land (Eunice Area)
Early Years Learning Center (Eunice Area)
Eunice Country Day Nursery School
Pumpkin Patch of Eunice
Smart Cats (Eunice Area)
Chica's Little Angels (Opelousas Area)
First Steps Development Center (Opelousas Area)
Futures Unlimited Preschool and Daycare (Opelousas Area)
God's Future Scholars (Opelousas Area)
Heavenly Angels Childcare Center (Opelousas Area)
Jen's Infants and Toddlers Center (Opelousas Area)
Just for Kids Daycare (Opelousas Area)
Lots of Love Christian Academy (Opelousas Area)
TLC Creative Blessings (Opelousas Area)
Tons of Fun Daycare and Preschool (Opelousas Area)
Copy of Birth Certificate (You can take a picture with your phone or scan the document and upload it here). If you are unable to upload the document, you can bring it in to the Early Childhood Administrative Office at 8736 Highway 182 North, Opelousas, LA 70570.
Answer Required
or drag it here.
Current Immunization Record (You can take a picture with your phone or scan the document and upload it here). If you are unable to upload the document, you can bring it in to the Early Childhood Administrative Office at 8736 Highway 182 North, Opelousas, LA 70570.
Answer Required
or drag it here.
One proof of residency - ie. utility bill with head of household address (You can take a picture with your phone or scan the document and upload it here). If you are unable to upload the document, you can bring it in to the Early Childhood Administrative Office at 8736 Highway 182 North, Opelousas, LA 70570.
Answer Required
or drag it here.
Child's Social Security Card (You can take a picture with your phone or scan the document and upload it here). If you are unable to upload the document, you can bring it in to the Early Childhood Administrative Office at 8736 Highway 182 North, Opelousas, LA 70570.
Answer Required
or drag it here.
Proof of Income - One of the following: 2 consecutive check stubs for each working parent OR snap verification letter with child's name and certification date on letter (You can take a picture with your phone or scan the document and upload it here). If you are unable to upload the document, you can bring it in to the Early Childhood Administrative Office at 8736 Highway 182 North, Opelousas, LA 70570.
Answer Required
or drag it here.
ANY ADDITIONAL DOCUMENTS TO UPLOAD - UPLOAD THEM HERE (ie. Current foster care placement agreement from DCFS if the child is in foster care)
Answer Required
or drag it here.

To find out information about schools and early childhood centers in your area, visit WWW.LOUISIANASCHOOLS.COM, and type in a school or center’s name, or your zip code.

Confirmation Email
Please verify you are not a robot:
Please fix errors above