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Thank you for your interest in the Educare DC. Please begin the eligibility process by completing the intake application. Failure to complete all sections may delay the processing of your application. All submitted applications will receive fair review under consideration of the Head Start and Educare eligibility and selection criteria guidelines. Selection is based on servicing the families with highest of need not based on first submitted first selected.

This section is to be completed by the Primary Adult for the applying participant. This can be a child's mother or father, other family member who is a primary care giver, foster parent or authorized care giver, guardian or the person with whom the child has been placed for purposes of adoption pending a final adoption decree. Please answer all required questions. Incomplete applications may be delayed in being processed. Note: If child lives with mother and father, they should be listed as the primary and secondary parent/guardian on this application. Otherwise, put responsible adult living with child.

First Name (Required)

Middle Name

Last Name (Required)

Suffix

Birthday (Required)

Gender

Email Address (Required)

Confirm Email Address

It appears that you have previously submitted an application. If you wish to apply again, please contact us by phone or in person.

Mobile Phone

Opt In for Text Messages

Home Phone

Work Phone

Ext.

It appears that you have previously submitted an application. If you wish to apply again, please contact us by phone or in person.

SSN

Race

Hispanic

English Proficiency

Other Language

Other Language Proficiency

Highest Grade Completed

Employment Status

Child's Relationship

Custody

Lives with Family

Provides Financial Support

Teen Parent

If Teen Parent, Subsidized?

Please provide living address. DC Residency is required for eligibility into the Educare program and will require supporting documentation to verify.

Is your family experiencing homelessness?

Living Address (Required)

Address Line 2

City (Required)

State (Required)

ZIP (Required)

Click here to find a provider in your area.

Mailing Address same as Living Address

Mailing Address

Address Line 2

City

State

ZIP

This section is to be completed by the Secondary Adult for the applying participant. This can be a child's mother or father, other family member who is a shared care giver, foster parent or authorized care giver, guardian or the person with whom the child has been placed for purposes of adoption pending a final adoption decree. Please answer all required questions. Incomplete applications may be delayed in being processed.

Is there another parent/guardian in the family?

First Name (Required)

Middle Name

Last Name (Required)

Suffix

Birthday (Required)

Gender

Email Address

Confirm Email Address

It appears that you have previously submitted an application. If you wish to apply again, please contact us by phone or in person.

Mobile Phone

Opt In for Text Messages

Home Phone

Work Phone

Ext.

It appears that you have previously submitted an application. If you wish to apply again, please contact us by phone or in person.

SSN

Race

Hispanic

English Proficiency

Other Language

Other Language Proficiency

Highest Grade Completed

Employment Status

Child's Relationship

Custody

Lives with Family

Provides Financial Support

Teen Parent

If Teen Parent, Subsidized?

Are there other adults in the household?

Add Another Adult

To be considered for Early Head Start and/or DHS (District of Columbia) before/after care vouchers, please answer each question below.

Number of Parents/Guardians

Relationship to Participant(s)

Primary Language at Home

Number in Household

Number in Family

Gross Annual Income

Is your family receiving cash benefits or other services under the Temporary Assistance for Needy Families (TANF) program?

Is your family receiving Supplemental Security Income (SSI)?

Is your family receiving services from WIC?

WIC ID (if applicable)

Is your family receiving services under the Supplemental Nutrition Assistance Program (SNAP), formerly referred to as Food Stamps?

Is at least one parent/guardian an active duty member of the United States military?

Is at least one parent/guardian a veteran of the United States military?

Please answer all questions completely for the child that you are applying for enrollment into the Educare DC programing.

First Name (Required)

Middle Name

Last Name (Required)

Suffix

Nickname

Birthday (Required)

Gender

SSN

Race

Hispanic

English Proficiency

Other Language

Other Language Proficiency

Primary Health Coverage

Other Coverage

Insurance Number

Medicaid Eligibility

Medicaid Number

Doctor/Medical Home

Does your child have a disability or do you have any concerns about your child's development?

Is there anything else you want to tell us about your child?

Which program are you applying for? (Required)

Location Preference

1st Location Preference

2nd Location Preference

3rd Location Preference

- Your Address - Available Locations

Click a location on the map to see more info

Click here to find a provider in your area.

Do you want to apply now for another child in your family?

Add Another Applicant

Are there other children in the family?

Add a Sibling

Thank you for applying with Educare DC. Please click SUBMIT to finalize your submission. By submitting this application, you are certifying that the information submitted in this application is true and correct to the best of your knowledge. You further understand that any false statements may result in denial or revocation of enrollment. The Enrollment department will be in touch shortly to schedule a personal intake interview and tour of our learning institute.

Required information is missing, see above.

Parent/Guardian

Address

Additional Parent/Guardian

Other Adults

Family Information

Child (Applicant)

Location Preferences

Additional Applicant

Siblings