List Household Members below for determination of family size (required)

Per PKC Statute, Regulations, and Guidance, the following members of the household are included in family size:

• Parent of the child (biological or adoptive mother or father, stepmother or stepfather, caretaker or spouse) 
• A biological, adoptive, unrelated or foster child or stepchild of the parent or caretaker who is under 18 years of age and not emancipated. 
• A child who is 18 years of age or older but under 22 years of age who is enrolled in high school, a general educational development program, or a post-secondary program leading to a degree, diploma or certificate and who is wholly or partially dependent on the income of the parent or caretaker or spouse of the parent or caretaker. 
• Others supported by the income of the parent(s) or guardian(s) of the child enrolling or participating in the program. If counted toward family size, any applicable income of these persons must also be counted for eligibility purposes. 

Note: A family size value of one (1) with an income of $0 is entered when a foster child is applying for Pennsylvania Pre-K Counts.

Other Child Eligibility Risk Factor Criterion (Must check all that apply):