Thank you for your interest in Seton Hill Child Services, Inc! We are excited to provide you with quality care and education for your child! If you need assistance filling out this application, please call (724) 836-0099. If you are applying for Early Head Start, Head Start, or Pre-K Counts, please be sure to provide your household income for eligibility. When meeting with the Family Resource Specialist for enrollment, you will be required to provide proof of income (12 months prior to application date), proof of cash assistance, SSI documentation, SNAP card or Foster Placement letter to be considered for the program. PLEASE COMPLETE ALL AREAS OF THE APPLICATION!
Parent/Guardian
PLEASE COMPLETE ALL AREAS
First Name (Required)
Last Name (Required)
Birthday (Required)
Gender
Female
Male
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
Yes
No
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.
Race
American Indian or Alaska Native
Asian
Black or African American
Multi-racial/Biracial
Native Hawaiian/Other Pacific Islander
Other
Unspecified
White
Hispanic
Yes
No
English Proficiency
Little
Moderate
None
Proficient
Other Language
American Sign Language
English
Mandarin
Nepali
Russian
Spanish
Other Language Proficiency
Little
Moderate
None
Proficient
Highest Grade Completed
Associate's Degree
Bachelor's Degree
College Degree/Training Cert.
College or Advance Training
General Education Diploma
High School Graduate
Master's Degree
Some High School
Employment Status
Full-time & Training
Full-time (35 hours/week or more)
In School
Job Training
Part-time & Training
Part-time (Under 35 hours/week)
Retired or Disabled
Seasonally Employed
Unemployed
Child's Relationship
Biological/Adopted/Step
Foster
Grandchild
Other
Other Relative
Custody
Yes
No
Provides Financial Support
Yes
No
Teen Parent
Yes
No
Address
Is your family experiencing homelessness?
Yes
No
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
Additional Parent/Guardian
PLEASE COMPLETE ALL AREAS
Is there another parent/guardian in the family?
Yes
No
First Name (Required)
Last Name (Required)
Birthday (Required)
Gender
Female
Male
Mobile Phone
Opt In for Text Messages
Yes
No
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.
Race
American Indian or Alaska Native
Asian
Black or African American
Multi-racial/Biracial
Native Hawaiian/Other Pacific Islander
Other
Unspecified
White
Hispanic
Yes
No
English Proficiency
Little
Moderate
None
Proficient
Other Language
American Sign Language
English
Mandarin
Nepali
Russian
Spanish
Other Language Proficiency
Little
Moderate
None
Proficient
Highest Grade Completed
Associate's Degree
Bachelor's Degree
College Degree/Training Cert.
College or Advance Training
General Education Diploma
High School Graduate
Master's Degree
Some High School
Employment Status
Full-time & Training
Full-time (35 hours/week or more)
In School
Job Training
Part-time & Training
Part-time (Under 35 hours/week)
Retired or Disabled
Seasonally Employed
Unemployed
Child's Relationship
Biological/Adopted/Step
Foster
Grandchild
Other
Other Relative
Custody
Yes
No
Provides Financial Support
Yes
No
Teen Parent
Yes
No
Family Information
PLEASE COMPLETE ALL AREAS *You are not required to fill out household income if you are applying for the Private Program, however, Early Head Start, Head Start, and Pre-K Counts Programs require income verification. For those programs please fill out the income section with the last 12 months of income. Please remember a Family Resource Specialist will call upon enrollment to ensure you have your proof of income (12 months prior to application date), proof of cash assistance, SSI documentation, SNAP card, or Foster Placement letter to be considered for the program. All documents and information that are received by SHCS will be kept confidential.
Number of Parents/Guardians
One Parent Family
Two Parent Family
Relationship to Participant(s)
Foster parent(s) not including relatives
Grandparent(s)
Other
Parent(s) (e.g. biological, adoptive, stepparents)
Relative(s) other than grandparents
Primary Language at Home
American Sign Language
English
Mandarin
Nepali
Russian
Spanish
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?
Yes
No
Is your family receiving Supplemental Security Income (SSI)?
Yes
No
Is your family receiving services from WIC?
Yes
No
Is your family receiving services under the Supplemental Nutrition Assistance Program (SNAP), formerly referred to as Food Stamps?
Yes
No
Is at least one parent/guardian an active duty member of the United States military?
Yes
No
Is at least one parent/guardian a veteran of the United States military?
Yes
No
Emergency Contacts
Add Emergency Contact
Child (Applicant)
PLEASE COMPLETE ALL AREAS. In the area for additional notes please provide us with the School District in which you reside. All information is kept confidential.
First Name (Required)
Middle Name
Last Name (Required)
Nickname
Birthday (Required)
Gender
Female
Male
Race
American Indian or Alaska Native
Asian
Black or African American
Multi-racial/Biracial
Native Hawaiian/Other Pacific Islander
Other
Unspecified
White
Hispanic
Yes
No
English Proficiency
Little
Moderate
None
Proficient
Primary Health Coverage
Children's Health Insurance Program (CHIP)
Combined Medicaid/CHIP
Medicaid
No Insurance
Other
Private Health Insurance
State-Only Funded Insurance
Insurance Number
Doctor/Medical Home
AHN Crossroad Family Practice
Akron Childrens Hospital
Alle Kiski Pediatrics
Alma Illery Pediatric Department
American Academy of Peds
Ann Chen Pediatrics
Bchara Janadri
CCP - Allison Park
CCP - Pittsburgh
CCP - Pittsburgh Ped Shadyside
CCP - Squirrel Hill
CCP- ALLEGHENY
CCP- Belleview
CCP- Blairsville
CCP- GIL, Murrysville
CCP- Healthquest, Harmar Office
CCP- MONONGAHELA
CCP- Monroeville
CCP- Moutian View
CCP- Natrona Heights
CCP- Pittsburgh
CCP- Wexford
CCP-Connellsville
CCP-Laurel Peds
CCP-Mt. Pleasant
CCP-Norwin
CCP-Sarver
CCP-WHITE OAK
CHERRY TREE PEDS
CHILDREN'S COMMUNITY PEDS
Children's Hospital Pittsburgh
Children's Primary Care Center
Citizens Family Health Clinic
Community Health Clinic, Inc.
Conemaugh Family Medical Center
Conn Family Medicine
Darren L. Hoover, MD
DAVAGLIA INDIANA PEDS
Dr. Charles J. Choi, MD
Dr. Rachel Esposito
Dr.Nguyen
East Liberty Family Health
East Suburban Peds-Irwin
East Suburban Peds-Monroeville
East Suburban Peds-Murrysville
East Surburban Peds-N Huntingdon
EH Family Medicine Jeannette
Everett & Hurite Ophthalmic
excela family medicine Latrobe
Excela Health Family Medicine
Excela Health Ligonier
Excela Square Frick Family Med
Excela Square Latrobe-Pediatrics
Fay West Family Practice
Forest Hills Medical Associates
Gateway Medical Associates
Greater PGH Ped Center
Health and Welfare Council
Health Care Partners PC
Highland Peds
Indiana Pediatrics Associates
Irwin Primary Care Associates
Johnstown Family Medical Center
KEYSTONE PEDIATRIICS
Kids + Pedatrics
Kids Care Pediatrics-Latrobe
Kids Care Pediatrics-New Alexand
Kids Plus Pedatrics
L. Kevin Metsger, DMD
Lang Family Medicine
Latrobe Associates Of Latrobe
Latrobe Primary Care
Latterman Family Health Center
LAUREL PEDIATRICS
Leechburg Primary Care Center
Leonida Family Practice
LIGONIER FAMILY PRACTICE
Lincoln-Lemington Family Health
LVPG Pediatrics- Whitehall
MAIN ST MED ASSOCIATES
Mercy Clinic Pediatrics
Nemours Children's Health,
Norvelt Family Medicine
Norwin Family Medicine Of UPMC
Partners In Health- Delmont
PAW Kidz - Connellsville
PAW Kidz- Irwin
PAW Kidz-Greensburg
PAW Kidz-Mt Pleasant
Pediatric Alliance, St Clair
Pediatric Alliance-Fox Chapel
Pediatric Associates, Inc
Pediatric Care Center
Pediatric Care Specialist
Pediatric Ophthalmology
pediatric primary care turtle cr
Pediatric Primary Care-Oakland
Pediatrics Irwin
PENN PLUM FAMILY MEDICINE
Plundo Medical Associates
Premier Medical Associates
Premier Medical Associates-Irwin
Premier Medical Associates-Monro
Primary Care, Connellsville
Primary Pediatric Associates
renaissance family practice
Russelton Medical Group
Saloom Family Health Center
Sarah Lumley
Sayette Med Associates
Selip/Bursch Family Medicine
Shady Side Health Center
South HIlls Pediatric Associates
Spino, MD & Associates
St. Margaret Family Health Cente
Steel City South Pediatrics
Stephen Greene, MD
Talamo, MD Pediatrics
Tender Care Pediatrics
The Medicine Shoppe
UMassMemorial Healthcare
UPMC Children's Pediatrics
Walworth Medical Associates
Westmoreland Allergy & Asthma
Westmoreland Family Medicine
Young Lim, MD Mt. Pleasant
Dentist/Dental Home
Aaron Valasek D.M.D
Abraham & Gill, DMD
Aesthetic Family Dental Center
Aiello Dental Associates
Alice Valenta
Beatriz De La Roche
Brungo Dentistry
Chestnut Hills Dental
Chestnut Hills Dental-Irwin
Chestnut Hills Dental-Murrysvill
Children's Hospital
Clarion Dental Center
Community Health Clinic, Inc.
Daniel J. Spellman, D.M.D.
Dental Care Associates
Dental Works
Dentistry for Kids
Dentistry with a Touch of Art
Douglas R. Lippert
Dr Anthony Brusca
Dr Ed Spotts
Dr Gary Liberati DMD
Dr. Barry Bupp
Dr. Daniel Demarco
Dr. David Pavasko
Dr. Del Kovacevir
Dr. James Geshay
Dr. Jeff McCloy
Dr. Keith Gjebre
Dr. Kimberly Gretz-Zambruno
Dr. Kurt Washnock
Dr. Mark Harvy
Dr. Michael Grimes
Dr. Paul Kraisinger
Dr. Tao Jiang
Dunbar Family Dental
Edward S. Spotts, Jr., DMD
Four Seasons Dentistry
Golden Onsite Dental
Good orthodontics
Greensburg Dental Care
Iannessa Pediatric Dentistry
Jennifer Siwula Gill, DMD
Jerald K. Lowry, DMD
Joshua R. Huhn, DMD
Joshua Waskowitz
Kaiser Dental
Katsur Dental & Orthodontics
Katsur Dental-Greensburg
Katsur Dental-Lower Burrell
Kraisinger Family Dentistry
Kraisinger Famly Dentistry
L. Kevin Metzger, DMD
Latrobe Dental Arts
Laurel Highlands Dentistry
Laurelview Dentistry
Marko Family Dentistry
Michael W. Contes, DMD
Milad M Daoud, OD
Miracle dental assoc.
MonView Dental
Mountain View Dental
New Ken Dental Associates
Norwin Dental, Inc
Nova Dental Associates
Nova Dental Associates-Tarentum
Oak Hill Dental
Paragon Dental
Paragon Dental
Perfect Smile Dental Group
Perfect Smiles
Primary Care Dentistry
Prime Dental
Ravi Balu Family Dental
Reilly Dental
Ryan P. Shaw, DMD
Selvig & Shaw Ped Dentristry
Severns L.L.C
Somerset Dental Associates
Steel City Dental
Taylor Made Smiles
Tender Care Dentistry-Murrysvill
Tender Care Ped. Dentistry
Thomas E Gretz & Associates
Timothy Sluser, DMD
UPMC Children's Pediatric Dental
Willowbrook Dental Associates
Youth Smiles Dental Center
Does your child have a disability or do you have any concerns about your child's development?
Yes
No
Is there anything else you want to tell us about your child?
Location Preferences
Which program are you applying for? (Required)
Pre-K counts 2024-2025
Early Head Start 2024-2025
HSSAP 2024-2025
EHS/CCP 2024-2025
Head Start 2024-2025
Day Care 2024-2025
Location Preference
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1st Location Preference
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2nd Location Preference
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3rd Location Preference
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- Your Address
- Available Locations
Click a location on the map to see more info
Click here
to find a provider in your area.
Additional Applicant
Do you want to apply now for another child in your family?
Add Another Applicant
Siblings
Are there other children in the family?
Add a Sibling
Thank you for your interest in Seton Hill Child Services, Inc. Please make sure all areas of your application are completed then click submit to finalize your application. The Family Resource Specialist will contact you at their earliest convenience to set up an enrollment appointment.
Required information is missing, see above.