PCCN Preschool

2731 West Milham Road
Portage, MI 49024
(269) 323-7855

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Forms

2011-12 Membership Information Packet
This packet includes the following forms and instructions: Member's Agreement, Child Placement Contract, Child Information Sheet, Health Appraisal Form, Volunteer Screening Policy, Request for Central Registry Clearance, Parent Volunteer Opportunities, and State of Michigan Child Information Record.

2012-13 Membership Information Packet
This packet includes the following forms and instructions: Member's Agreement, Child Placement Contract, Child Information Sheet, Volunteer Screening Policy, Request for Central Registry Clearance, Parent Volunteer Opportunities and Health Appraisal Form Instructions.

Expense Voucher

Health Appraisal Form

 

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EARLY CHILDHOOD DEVELOPMENTAL PRESCHOOL PROGRAM
Our program is fully accredited by the Michigan Department of Social Services.

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Last Updated December 9, 2011 by PCCN Webmaster.