Smart Love Preschool Help Support Us
ONLINE PRESCHOOL APPLICATION

Please complete this application and the online payment of a non-refundable
$150 application fee for consideration for admission to Smart Love Preschool.


Applicant's Full Name:
Address: Gender: M    F
Address: Phone:
City: Birthday:
 /   / 
mm  /  dd  /  yyyy
State:
Zip:
 
Year applying for: Please check: 2011-12     2012-13     2013-14

Class Preferences: Please check your preference.
5 Day Full (8:40-3:30)     5 Day Full JK (8:40-3:30)     5 Day Half Day (8:40 – 11:30)
5 Day Half JK (12:40 – 3:30)     3 Day Half Day (T, W, R, 8:40 – 11:30)
Please give a brief description of your child

 
Please list all schools/day cares/organized programs or classes your child has attended.
Facility Name


Dates Attended (MM/YY)



 
How did you hear about the Smart Love Preschool?
Web     NPN     Smart Love     Friend     Advertisement     Other 
 
First Parent

 Second Parent
Full Name:
Full Name:
Address (If different): Address (If different):
Address: Address:
City: City:
State:
Zip:
State:
Zip:
Home Phone: Home Phone:
Cell Phone: Cell Phone:
Name and Address of Employer:
 Name and Address of Employer:
Occupation/Position: Occupation/Position:
Business Phone: Business Phone:
Email:
Email:
Preferred Method of Contact:
Home Phone
Business Phone     		 Cell Phone
Email
Preferred Method of Contact:
Home Phone
Business Phone     		 Cell Phone
Email
 
List any siblings and their ages.
Other children in the home (names and ages)
 
I hereby make formal application for my child to enter Smart Love Preschool.
I understand that this application does not guarantee admission to the school.


The Smart Love Preschool admits children of all cultures and ethnicity
and we do not discriminate on the basis of race, ethnicity, gender, or
sexual orientation, or marital status of the child's parents. Our goal is
to provide an environment rich in diversity for the children.



 
Smart Love Family Services • Chicago, Illinois • P:773.665.8052 • E: contact@smartlovepreschool.org
©2012 Smart Love Family Services. All rights reserved.