Wolcott Public School Pre-K Lottery Submission Form

The application process for the Alcott Elementary Preschool Lottery Program is now available for the 2023-2024 school year. This lottery application is available for Wolcott children born in 2019 & 2020.

Completion of this form DOES NOT guarantee your child a spot in the Preschool Program. The Lottery Application Process will close on Wednesday, March 10, 2023. The lottery selection will be completed after March 10th and you will be notified of the results by email. Residency Requirements must be met in order to be enrolled in the Preschool Program.

Please visit the Wolcott Public Schools District website to apply for the Lottery and to view Residency Requirements at: wolcottps.org

If you have any questions, please contact Student Services at 203-879-8178.

PLEASE NOTE: This form is only intended to collect submissions for the Pre-K Lottery. For regular pre registrations, please visit:

https://www.wolcottps.org/apps/form/form.WOLPS.t8JDvNy.1Nw

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

Childs First Name*

Answer Required

Childs Middle Name

Answer Required

Childs Last Name*

Answer Required

Childs Date of Birth*

Answer Required

Childs Age*

Answer Required

Address (Wolcott CT ONLY)

Street Address*

Answer Required

Contact 1 Information

First Name*

Answer Required

Middle Name

Answer Required

Last Name*

Answer Required

Email 1*

Answer Required

Phone*

Number Required

Contact 2 Information

First Name

Answer Required

Middle Name

Answer Required

Last Name

Answer Required

Email 1

Answer Required

Phone

Number Required

Childs Race/Ethnicity - Please check all that apply*

Answer Required

American Indian or Alaska Native

Black or African American

Asian

White

Native Hawaiian/Other Pacific Islander

Other:

Does your child have any siblings that are currently attending Wolcott Public Schools?*

Answer Required

Yes

If yes, please list names of siblings.

Answer Required

Has your child ever been in a pre-school program before?*

Answer Required

Yes

If yes, please list what program, dates of enrollment and location.

Answer Required

Has your child ever received or is currently receiving services from Birth-to-Three?*

Answer Required

Yes

If yes, what services and which provider?

Answer Required

Is your child receiving outside private services?*

Answer Required

Yes

If yes, what services and who is the provider?

Answer Required

Do you have concerns regarding your child's development?*

Answer Required

Yes

If yes, please explain your concerns.

Answer Required

What are your child's favorite activities?*

Answer Required

What types of experiences would you like your child to enjoy in pre-school?*

Answer Required

What would you like us to know about your child?*

Answer Required

What are five adjectives that best describe your child?*

Answer Required

Please fix the highlighted areas below before submitting.

Wolcott Public School Pre-K Lottery Submission Form