Thank you for contacting the Educare of Omaha, Inc. program. Please complete the application fields below for your child to be considered for our program.
Parent/Guardian
Parents: please complete this section for yourself, selecting the best option that applies to you in the drop down boxes.
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.
English Proficiency
Little
None
Proficient
Teen Parent
Yes
No
Address
Please enter your address below. You must live in Douglas County to qualify for this program.
Is your family experiencing homelessness?
Yes
No
Living Address (Required)
Address Line 2
City (Required)
State (Required)
ZIP (Required)
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to find a provider in your area.
Mailing Address same as Living Address
Mailing Address
Address Line 2
City
State
ZIP
Child (Applicant)
Please enter your child's name as it appears on his/hers birth certificate.
First Name (Required)
Last Name (Required)
Birthday (Required)
Gender
Female
Male
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)
Educare Early Head Start Home Visitation Program
Educare of Omaha, Inc. Early Head Start
Kellom, Indian Hill, Gateway, Skinner, Kennedy
1st Location Preference
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2nd 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 your interest in the Educare of Omaha, Inc. program. Please click submit to finalize your application. We will contact you within 7 days to set up an intake appointment to complete the application.
Required information is missing, see above.