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St. Agnes Prekindergarten Application

Thank you for completing this confidential screener.  Saskatchewan’s Prekindergarten programs admit children based on eligibility criteria.  It is important to share as much information about your child’s growth and development as possible. 

Submitting this screening tool does not guarantee your child’s enrollment in the program.  

You will be contacted by the school division if your child qualifies. 

PreKindergarten student selection is based upon criteria developed by the Ministry of Education. Click here for more information.

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

Is this application for:*
Answer Required
(Morning and afternoon programs will be balanced if there are two daily programs in the school) Please choose your preference.
Answer Required
Has student ever before attended any school within Holy Trinity Catholic School Division?*
Answer Required
Please select name of HTCSD school attended.
Answer Required

Student Information

Gender*
Answer Required

Criteria for Admission to Prekindergarten

Prekindergarten spaces are filled throughout the year as they become available.  The screening tool is reviewed by a selection committee and children will be accepted based on the following criteria.

Answer Required
Yes
No
Unknown
Is your child experiencing speech or language difficulties?
Is your child experiencing challenges with social, emotional development?
Does your child have little or no opportunity for contact with other children?
Is your child learning English as an additional language?
Is your child currently living with only one parent?
Are any of the child’s family members absent from the home for long periods of time?
Does your child live with a teen parent?
Does either of your child’s parents have less than a high school education?
Has there been any impact in the family from a traumatic experience?
Is the family experiencing financial need?
Is the family experiencing a health care crisis?
Is there limited extended family support?
Choose the one that best describes your child when it comes to toileting:*
Answer Required
Does your child attend or receive support from?
Answer Required

Parent/Guardian #1 Information

Address*
Answer Required
Relationship to child*
Answer Required

Parent/Guardian #2 Information

Address
Answer Required
Relationship to student
Answer Required

Parent/Guardian #3

Address
Answer Required
Relationship to student
Answer Required

Parent/Guardian #4

Address
Answer Required
Relationship to child*
Answer Required

Special Situations

Child Resides with:*
Answer Required
Voluntary Declaration:
Answer Required
Resident Type:*
Answer Required

Child Care Provider

Emergency Contact

Sibling Information (Optional)

Do you have other children attending or will be attending Holy Trinity Catholic School Division?
Answer Required

Religion

Who is Catholic?*
Answer Required
Student has been;*
Answer Required

If Religion is other than the Catholic Faith please sign the following acknowledgement: In accordance with Administrative Procedure 300: Admission of Students, I wish to have my child/children attend a Catholic school. My child is not Catholic but an important reason why I am choosing a Catholic school is to have my child/children participate in the spiritual formation and atmosphere that Catholic schools provide. I agree to comply with and support, to the best of my ability, the vision, mission, and covenant of shared values of the school division, the Religious Education program, and the religious celebrations of the Catholic school, excluding reception of the sacraments.

I agree with the above statement.*
Answer Required
Confirmation Email