Preschool/Early Intervention (EI) Registration

Students being referred to the Committee on Preschool Special Education (CPSE) must contact the special education office at 914-769-4608, ext. 5122 before registering your child.

Once the referral is received from the special education office, the registrar will contact you to setup an appointment. 

1. Online Registration Is Required Prior to the Registration Appointment: https://esdparentportal.lhric.org/MtPleasant

2. All documents must be uploaded before the registration appointment: Upload Registration Documents

*** ALL DOCUMENTS MUST BE ORIGINAL (no copies at the time of the appointment)***  ***THEY MUST BE COMPLETED BEFORE REGISTRATION CAN BE FINALIZED***

You must have:

  1. DRIVERS LICENSE (picture id only - does not have to be changed)
  2. ONE OF THE FOLLOWING:   
  3. ORIGINAL BIRTH CERTIFICATE (must be original) for all children
  4. Residency Questionnaire  Residency Questionnaire.pdfOpens in a new browser tab 
  5. NYS School Health Examination  NYS Health Examination Form.pdf Opens in a new browser tab (Immunization Records must be attached)
  6. TWO (2) UTILITY BILL (must provide within 30 days)
  7. Home Language Questionnaire.pdfOpens in a new browser tab 
  8. CPSE Medicaid Billing Consent Form  CPSE Medicaid Billing Consent Form.pdf

Reference Documents:

  1. CPSE Notice of Use of Public Benefits  CPSE Notice of Use of Public Benefits.pdf 
  2. CPSE Parents Guide to Special Education  CPSE Parents Guide to Special Education.pdf 
  3. CPSE Procedural Safeguards  CPSE Procedural Safeguards.pdf 

IF A DIVORCE OR SEPARATION APPLIES or CHILD DOES NOT LIVE WITH BOTH PARENTS, PLEASE PROVIDE PROOF OF CUSTODY:

Custodial Guardian Affidavit.pdfOpens in a new browser tab  Completed by the parent/guardian the child lives with, if not both parents

Parent Affidavit.pdfOpens in a new browser tab Completed by the parent/guardian the child DOES NOT live with, if not both parents

Special Home Circumstances.pdfOpens in a new browser tab  Completed if Single Parent, Legal Guardian, Foster Parent or Agency

 

Upload Registration Documents