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)
Click here
to find a provider in your area.
Mailing Address same as Living Address
Mailing Address
Address Line 2
City
State
ZIP
Family Information
Please include income for both parents if applicable. Income sources should include earned or unearned money from any source to include child support, financial aide scholarships or grants or disability income. The number in your household may be higher than your family size - actual family is used to determine eligibility for the program.
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
African Language
American Sign Language
Arabic
Asian
Burmese
Central American
Chinese
English
Farsi
French
Kashmari
Kurdish
Middle Eastern
Other Pacific Island
Porteguese
Russian
Spanish
Ukrainian
Vietnamese
Western European
Number in Household
Number in Family
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 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 Omaha HS 2024-2025
Sixpence HB 2024-2025
Educare Omaha Head Start
Kellom and Indian Hill
Sixpece Early Learning at Gateway
Birth to 3
Educare Omaha EHS 2024-2025
Educare Omaha Early Head Start
Kellom and Indian Hill
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 your interest in the Educare of Omaha, Inc. program. Please click submit to finalize your application. We will contact you within 7 business days to set up an intake appointment to complete the application.
Required information is missing, see above.