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Income Guidelines/Forms
Lewiston Preschool

Income Guidelines/Forms

The State Preschool program is subsidized by the State of California.  The fee schedule is based on the state median income adjusted for family size.  If your income is listed at or below the amounts listed, you qualify for free services.  Your gross monthly income includes all sources of income.
Number of Persons
in Family
Family Income
1-2 $4,030
3 $4,340
4 $4,877
5 $5,657
6 $6,438
7 $6,584
8 $6,730

Once your child is signed up for preschool, a Certified Birth Certificate, Current Immunization Record, and proof of four weeks income will be collected from you by Human Response Network.

Wait List Form

CDE Physicians Report Form

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