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Educare Lincoln is a research-based program that serves children ages 6 weeks to 5 years. Educare is based on the developmental approach to early childhood education that places emphasis on learning skills that are geared to each child's stage of readiness or development. Educare is a place for children to learn and grow, and also a place for parents and families to reach their full potential. Please read the questions carefully and complete all required fields. Your responses will be kept confidential and will only be shared with and reviewed by authorized Educare staff. Please contact our main office at (402) 458-3171 if you experience any issues when completing this pre-application form. Please note: Submitting this application does not guarantee you a spot. Applications are accepted based on the availability of the center and specific eligibility requirements.

Please read the questions carefully and provide information about the primary adult in the household. Information about any additional adult household members - who contribute to the household, will be collected at time of intake.

First Name (Required)

Middle Name

Last Name (Required)

Birthday (Required)

Gender (Required)

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.

English Proficiency

Other Language

Other Language Proficiency

Highest Grade Completed (Required)

Employment Status (Required)

Child's Relationship (Required)

Custody (Required)

Teen Parent

Please list the address where you are currently residing. If you or your child(ren) are currently residing at a shared living space (People's City Mission, Friendship Home, Hotel/Motel, etc.,) or are sharing the housing of others, due to loss of housing or economic hardship, please answer "yes" to the question regarding homelessness and list the address of the appropriate facility or place where you receive your mail.

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

Please read the questions carefully and complete all required fields.

Number of Parents/Guardians (Required)

Relationship to Participant(s)

Primary Language at Home (Required)

Is another language being acquired or learned at home?

Gross Annual Income

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

Is your family receiving Supplemental Security Income (SSI)? (Required)

Is your family receiving services from WIC?

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

Add Emergency Contact

Educare serves children ages 6 weeks - 5 years. Please tell us about your child. Please note: If you have more than one child who you are requesting care for, you will need to list each child separately. Please use the "add another applicant" button for each additional child.

First Name (Required)

Middle Name

Last Name (Required)

Suffix

Nickname

Birthday (Required)

Gender (Required)

English Proficiency

Other Language

Other Language Proficiency

Primary Health Coverage (Required)

Doctor/Medical Home

Dentist/Dental Home

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

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

Thank you for your interest in Educare Lincoln! By clicking the button below, you certify that the information you have provided is complete and accurate to the best of your knowledge. We will contact you soon to set up an intake appointment. Non-Discrimination Statement: Educare Lincoln does not discriminate based on race, color, national origin, sex, religion, age, mental or physical disability, sexual orientation, marital status, parental status, political beliefs or status with regard to public assistance, in determining which children are served.

Required information is missing, see above.

Parent/Guardian

Address

Family Information

Emergency Contacts

Child (Applicant)

Location Preferences

Additional Applicant