Application

Solicitud en Español

Child's Information







Child's Birth Date*

Child must be born on or before August 23, 2019 to be eligible for the 2021-22 school year. We are presently accepting applications for the 2021-22 school year. The deadline for 2020-21 applications is February 26, 2021. If you would like to be considered for the 2020-2021 school year waiting pool, please email admissions@missionkidsco-op.org after submitting your application.

Child's Gender*


Prefer to self describe Gender


Ethnicity - Child*


Primary Language - Child*


Secondary Langauge - Child














Parent/Guardian 1


First Name - Parent 1*


Last Name - Parent 1*


Ethnicity - Parent 1*


Primary Language - Parent 1*


Secondary Language - Parent 1


Occupation


Special Skills/Expertise


Phone Number*






Parent/Guardian 2

First Name - Parent 2


Last Name - Parent 2


Ethnicity - Parent 2


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)*


Preferred Shifts (please use Ctrl, Alt or Command key to select multiple shifts)*



Child/Family Info

Names and ages of siblings.


Why would your child and family be a good fit for the co-op?


Please describe how your family can contribute to our school's diversity.


Summarize your child's previous experiences with preschool or childcare.


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*


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.*

 
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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!