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Solicitud en Español
Child’s Information
Child’s First Name
*
Child’s Last Name
*
Child’s Birth Date (MM/DD/YYYY)
*
We are presently accepting applications for the
2023-24
school year. Children must be born on or before
August 25th, 2021
to be eligible for the
2022-23
school year.
The deadline for 2023-24 applications is February 24, 2023
. If you would like to be considered for the
2022-2023
school year waiting pool, please email admissions@missionkidsco-op.org after submitting your application.
Child’s Gender
*
–None–
Female
Male
Prefer to self describe
Prefer to self describe Gender
Ethnicity – Child
*
Hispanic or Latino
American Indian or Alaska Native
Asian
Black or African American
Pacific Islander
White
Multi Ethnic / Other
Primary Language – Child
*
Secondary Langauge – Child
Street Address
City
State/Province
Zip
Country
Parent/Guardian 1
First Name – Parent 1
*
Last Name – Parent 1
*
Ethnicity – Parent 1
*
Hispanic or Latino
American Indian or Alaska Native
Asian
Black or African American
Pacific Islander
White
Multi Ethnic / Other
Primary Language – Parent 1
*
Secondary Language – Parent 1
Occupation
Special Skills/Expertise
Phone Number
*
Email
Parent/Guardian 2
First Name – Parent 2
Last Name – Parent 2
Ethnicity – Parent 2
Hispanic or Latino
American Indian or Alaska Native
Asian
Black or African American
Pacific Islander
White
Multi Ethnic / Other
Primary Language – Parent 2
Secondary Language – Parent 2
Occupation
Special Skills/Expertise
Phone Number
Email
Availability
Please list family members who would serve as Parent Teachers
*
Are you interested in the option to buy out of shift requirements?
Are you interested in working extra shifts in exchange for dues reduction
If you are low income, would your family be interested in applying for a scholarship?
Volunteer Interests (please use Ctrl, Alt or Command key to select multiple interests)
*
Administration/Events
Curriculum
Facility Maintenance
Field Trips
Fund-raising
Other
Website/content
Preferred Shifts (please use Ctrl, Alt or Command key to select multiple shifts)
*
M-am
M-pm
T-am
T-pm
W-am
W-pm
Th-am
Th-pm
Child/Family Info
Does your child have siblings? What are their name(s) and age(s)?
Do you have child care subsidy voucher?
Yes
No
If Yes, Please select the type of child care subsidy voucher:
–None–
CalWORKs
ELSF
Other
Not Sure
Please familiarize yourself with the requirements of Mission Kids co-op participation. Share a bit about why your family could be a good fit for the work responsibilities in the co-op.
We strive to cultivate a school community that teaches children to value their own lived experience and the lived experiences of others. What about your family’s lived experience are you teaching your child to value and are looking forward to bringing to our community?
What are you looking for in a preschool experience for your child and your family?
How did you hear about Mission Kids?
Family Income Limits
Family Size
1 person
2 people
3 people
4 people
5 people
6 people
7 people
8 people
Band 1
$33,850
$38,700
$43,350
$48,350
$52,250
$56,100
$60,000
$63,850
Band 2
$56,450
$64,500
$72,550
$80,600
$87,050
$93,500
$99,950
$106,400
Band 3
$90,450
$103,350
$116,250
$129,150
$139,500
$149,850
$160,150
$170,500
Band 4
$112,752
$112,752
$126,852
$140,904
$152,196
$163,452
$174,756
$186,000
Band 5
$175,000
$175,000
$175,000
$175,000
$175,000
$175,000
$200,000
$200,000
Band 6
>$250,000
>$250,000
>$250,000
>$250,000
>$250,000
>$250,000
>$250,000
>$250,000
Band 7
>$350,000
>$350,000
>$350,000
>$350,000
>$350,000
>$350,000
>$350,000
>$350,000
Please reference the grid to indicate your family income level
*
–None–
Band 1
Band 2
Band 3
Band 4
Band 5
Band 6
Band 7
Additional comments or clarifications:
By submitting this application, I affirm that the facts set forth in it are true and complete.
I understand that if my child is accepted at Mission Kids Co-op, any false statements, omissions, or other misrepresentations made by me on this application may result in our family’s immediate dismissal.
*
**You must confirm the reCAPTCHA selection in the box above for this button to enable**
After submitting this application, you should receive a confirmation email within 2 days. If you do not, please contact us at
admissions@missionkidsco-op.org
. Thank you!