Please answer ALL questions and double check for accuracy. Responda TODAS las preguntas y verifique la precisión.
Parent/Guardian
Please enter the Primary Adult's Information. This is the individual who will be the primary point of contact for the child and must be the legal guardian of the applicant.
First Name (Required)
Middle Name
Last Name (Required)
Suffix
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.
English Proficiency
Little
Moderate
None
Proficient
Other Language
African Languages
American Sign Language
Arabic
Bengali
Carribean
Chinese
E Asian
English
European/Slavic
French
Gujarti
Hindi
Korean
Middle Eastern / South Asian
Other
Spanish
Spanish
Vietnamese
Other Language Proficiency
Little
Moderate
None
Proficient
Child's Relationship
Biological/Adopted/Step
Foster
Grandchild
Other
Other Relative
Custody
Yes
No
Address
Please enter in your FULL permanent address. We require proof of residency dated within the past year of application (mortgage statement, lease agreement, utility bills, etc.).
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
Child (Applicant)
Please answer ALL questions about the applicant (child you are applying for). We require a birth record (birth certificate or hospital record) to verify the child's name, DOB, and parents.
First Name (Required)
Middle Name
Last Name (Required)
Suffix
Birthday (Required)
Gender (Required)
Female
Male
Does your child have a disability or do you have any concerns about your child's development? (Required)
Yes
No
Is there anything else you want to tell us about your child?
Location Preferences
Which program are you applying for? (Required)
25-26 Head Start
Federally funded free preschool for children ages 3 to 5
25-26 PreK Counts
State funded free preschool for children ages 3 to 5
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
Thank you for choosing MCIU Early Learning Programs. Your application process has STARTED. To continue, please check your email and spam for additional instructions. If your contact information changes, please contact us at 484-868-9800. Gracias por elegir los Programas de Aprendizaje Temprano de MCIU. Su proceso de solicitud ha COMENZADO. Para continuar, consulte su correo electrónico y spam para obtener instrucciones adicionales. Si su información de contacto cambia, comuníquese con nosotros al 484-868-9800.
Required information is missing, see above.