Free, high-quality pre-kindergarten for eligible 4-year-olds in Harnett County. This form takes about 15–20 minutes.
Tell us about the child you are applying for.
Enter the child’s first name.
Enter the child’s last name.
Enter the child’s date of birth.
Select a gender.
Select an option.
Select at least one race.
Enter the county of residence.
Enter a valid email address.
Your address, contact numbers, who the child lives with, and everyone in the home.
Enter your street address.
Enter your city.
Enter your state.
Enter a valid ZIP code.
Enter a phone number.
Select at least one.
Select your address situation.
List all family members in the home, including the NC Pre-K child. This determines your family size.
Enter information for each parent or legal caregiver in the home. At least one is required.
Enter this caregiver’s name.
Enter income for each parent / caregiver. Leave blank if none. You’ll upload proof of income later.
Statement of No Income
I ________ certify that as the parent/legal caregiver of ________, has zero income at the time of application. I certify the above information is true and correct and accurately reported. By typing your name below, you are signing this form electronically. You agree that your electronic signature is the legal substitute of your manual signature on this form.
These answers help determine eligibility and supports. Some answers may require documentation, which you’ll upload later.
Please read and agree to each item. These are required to process your application.
This application is being conducted to determine the eligibility of your child for the NC Pre-K Program being implemented in Harnett County. The information gathered today will become a part of the NC Pre-K database and be used to confirm eligibility, select participants, place them in the appropriate classrooms, and monitor their progress throughout the program.
Please initial next to each item below to indicate “Agree.”
1. Consent for the Release and Exchange of Information — The information on this form may be used in the determination of eligibility for the NC Pre-K Program administered by the Harnett County Partnership for Children. Upon acceptance into the program, I agree that all information provided herein may be used for research purposes and be shared with other agencies collaborating with the NC Pre-K Program, such as: Harnett County Schools, Department of Social Services, etc. I understand that information will not be shared for any reason other than to support my child’s participation in the NC Pre-K Program.
2. Media Consent Waiver and Release — I hereby give or do not give permission (select one below) to the Harnett County Partnership for Children and other news media entities, to prepare, reproduce, publish, or exhibit my or my child’s picture, portrait, or likeness for use by the news media or the Partnership in their news and public awareness programs. Any photograph, photo transparency, drawing, or other illustrative graphic material, audio-visual tape, or audio-visual illustrations, news report, story, or article may be used without my prior examination of the finished product.
3. Permission to Administer Screenings — I understand that if my child is enrolled, he/she may also be screened to determine eligibility for other services that will help prepare him/her for kindergarten. As a participant in the NC Pre-K program in Harnett County, my child may receive a vision screening, a speech/language screening, a hearing screening and a developmental screening to determine if he/she needs any assistance in these developmental areas before entering kindergarten. These screenings will be conducted by various clinicians approved and authorized by Harnett County Partnership for Children at no charge to me. If it is determined that my child needs further evaluation as a result of a screening, I will be contacted to schedule an appointment for further consultation.
4. Health Assessment — A health assessment is required to be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and must have been conducted within 12 months of program entry. If the health assessment is not completed within 30 calendar days, my child may lose their NC Pre-K placement.
5. Hours of Operation and Attendance — I understand NC Pre-K is a 6-1/2 hour day program 5 days a week and children should be in attendance regularly for the full day. I understand my child must attend at least 50% of operational days each month or my child may be dismissed from the program.
6. Transportation — I understand I am responsible for providing.
7. Wraparound — Families will be charged for the cost of wraparound services for any requested care before or after the regular school day, during holidays or during summer months. I understand I am responsible for any fees charged for this service by the NC Pre-K site of my placement.
8. Parent Involvement Agreement — I understand that if my child is selected to participate in the NC Pre-K Program, parent involvement will be critical to the success of my child. I/We will commit to participate as required by the NC Pre-K criteria. As a parent participant in the NC Pre-K Program, I understand and agree to the following:
Please initial each agreement to continue.
I certify that I am the parent/legal caregiver of the child for whose name appears on this application. I certify that all the information contained in this application is accurate and complete to the best of my knowledge including income information. I understand that this is only an application for possible enrollment, and I will be notified if my child is accepted.
By typing your name below, you are signing this form electronically. You agree that your electronic signature is the legal substitute of your manual signature on this form.
Type your full name to sign.
Enter today’s date.
Pick up to three preferred sites in order. Placement isn’t guaranteed; if you leave this blank we’ll place by closest site and availability.
While we will strive to place your child in your “number 1” desired site, placement preference is not guaranteed. If no site preference has been selected, your child will be placed in the closest NC Pre-K site based on the address provided and availability. Please understand that your child may be placed on a waiting list. Applications submitted before May 30, 2026 will be considered in the first round of placements. These parents will be notified regarding the status of their child’s application by July 15, 2026. Applications submitted after May 30, 2026 will be processed on a rolling basis and placed in the program as availability allows.
Your application can’t be processed until required documents are received. Accepted files: PDF, JPG, PNG, HEIC, DOC/DOCX — up to 15 MB each. You can take a photo with your phone.
Select one.
Please review everything below. Use “Edit” to change any section.
UPDATED VACCINATION RECORD
HEALTH ASSESSMENT (Including hearing, vision, and dental screenings. Use Children’s Medical Report form. Signed and dated within the last 12 months.)
*These two documents must be presented to your child’s teacher at your Pre-K orientation or on your child’s first date of attendance. Failure to do so will result in your child’s disenrollment from NC Pre-K.
Please confirm you have read this section.
You must certify to submit.
By submitting, your application enters our review queue. A staff member will verify your documents and contact you by email at the address you provided.
Thank you. Your application and documents are now in our review queue.
We’ve noted your confirmation number above. A staff member will review your documents and email you at with next steps.
Questions? Call 910-893-2344 or email [email protected]
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