NETTLETON PRE-K APPLICATION w/COPA 2026-2027
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  • NETTLETON PRE-K

    APPLICATION

  • 2026-2027 School Year

  • Campus Locations:


    Fox Meadow Elementary

    2305 Fox Meadow Lane, Jonesboro, AR 72404

    870-910-7817

    Director: Jennifer Gray

    Site Director: Joshua Goodon

     

    Steam Elementary

    2305 Vera Street Jonesboro, AR 72401

    870-910-7831

    Director: Jennifer Gray

    Site Director: Jordan Gardner

     

    University Heights Elementary

    300 Bowling Lane, Jonesboro, AR 72405

    870-910-7823

    Director: Jennifer Gray

    Site Director: David Utley

     ATTENTION: COPA Application needs to be filled out in conjunction with this form. Please be sure to do this.  https://arkansas.mycopa.com/familyPortal/childCare.epl

     

    **Please upload the following items after submitting this application. Application Will NOT be considered complete until all items are provided.**

    • Birth Certificate/Hospital Record
    • Social Security Card
    • Immunization Record (Current/up to date)
    • Physical (within last 12 months)
    • Two Proof of Resident
    • Insurance Card
    • Evaluation for private services (speech, physical therapy, occupational therapy, etc.)
    • There will be a $50 non-refundable registration fee for all tuition spots. Links for the fee will be sent with your acceptance email.

    If applying for ABC Free Tuition (Income Based) the following is also needed:

    • Proof of Income for every adult in the home (acceptable items include most recent W-2, most recent tax return, recent 30-day pay stubs or Notarized No-Earned Income Statement form)
    • Pay stubs must be consecutive and within 30 days of application date.
    • Verification of income is required for all guardians in the household.

     

     

     

  • Application Date*
     - -
  • Select your Nettleton PreK campus choice:*
  • Part Time / Full Time Attendance*
  • Select which program you are applying for:*
  • If you choose ABC but there is not a spot are you interested in a full pay tuition spot?
  • Does your child have a sibling living in the same household currently attending Nettleton Public Schools? If Yes please provide sibling's name(s), grade, and campus below.*

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  • Date of Birth:*
     - -
  • Is the student a foster child or adopted?*

  • Mother (Guardian’s) Information

  • Lives with child?:*

  • Father (Guardian’s) Information

  • Lives with child?:*

  • Digital Equity Survey

    The state requires the Nettleton to gather information on Internet access at home. Please answer questions below.

     
     
     
     
  • Does this student have internet at home?*
  • If there is no internet access, what is the reason this student does NOT have internetaccess?*
  • What type of internet access does this student have?*
  • Is the internet performance acceptable for learning activities?*
  • What type of device use most often to complete learning activities away from Pre-school?*
  • What is the source of this primary learning device?*
  • What are the students access to this primary learning device?*

  • Other Questions

     
  • Has your child ever been enrolled in another preschool or child care program?*
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Does your child receive:

  • Emergency Contacts (Person to call if parent can not be reached). Will be able to enter up to four contacts.

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Primary Caregiver Information

    (Person the child lives with the majority of the time.)

  • Secondary Caregiver Information

  • PREGNANCY/BIRTH HISTORY:

  • Were there any complications during or following the pregnancy?*
  • In walking, talking, and coordination did your child seem*

  • Family Data

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Child lives with*

  • SIBLINGS AND OTHERS LIVING IN THE HOME

    (LIST EVERYONE LIVING IN THE HOME)

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  • Medical History

  • Format: (000) 000-0000.

  • Has your child had or have now

  • Diabetes/Hypoglycemia*
  • Head injury*
  • Heart Condition*
  • Allergies*
  • Asthma*
  • Convulsions/Seizures*
  • Emotional Distress*
  • Ear Infections*
  • ADD/ADHD*
  • Nose Bleeds*
  • Migraines*

  • Current Medications:

  • Does your child wear*

  • EDUCATIONAL HISTORY

  • Is your child able to produce sounds correctly?*
  • Can your child effectively express himself/herself to you?*
  • Does your child stutter?*
  • Has your child ever had speech therapy?*
  • Has your child ever been evaluated for learning problems?*
  • Does your child have trouble behaving in school?*

  • Does this describe your child most of the time

  • Gets along with friends*
  • When disappointed, gets extremely upset*
  • Is overactive/hyper*
  • Is disorganized*
  • Gets angry easily*
  • Talks too much*
  • Is slow moving*
  • Short attention Span*
  • Cries easily*
  • Daydreams*
  • Poor coordination & Balance*

  • Has your child ever shown these behaviors on a FREQUENT basis

  • Temper Tantrums*
  • Sleeping Problems*
  • Rocking*
  • Bedwetting*
  • Head Bumping*
  • Potty Trained?*
  • Other*
  • Clear
  • Date*
     - -

  • ATTENTION: COPA Application needs to be filled out in conjunction with this form. Please be sure to do this. https://arkansas.mycopa.com/familyPortal/childCare.epl

  • Please click each box certifying that you agree to the following:*
  • Should be Empty: