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Thank you for your interest in our program. Communities United, Inc. offers full and part-day programming to meet the needs of families. Because CUI receives more applications than there are available slots in our programs, we maintain an active wait list from which vacancies are filled as they occur throughout the year. Submission of an application does not guarantee acceptance into our program. In providing services to children and their families, Communities United, Inc. does not discriminate on the basis of race, color, national origin, sex, disability, or reprisal or retaliation for prior civil rights activity. Feel free to contact our Admissions Office at 617-744-6076 if you have any questions about the application process. We are happy to help!

Family Member/Guardian: Enter the full name as it appears on the ID. Please answer all questions as applicable.

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.

Race

Hispanic

English Proficiency (Required)

Other Language (Required)

Other Language Proficiency

Highest Grade Completed

Employment Status (Required)

Child's Relationship (Required)

Custody (Required)

Lives with Family (Required)

Provides Financial Support (Required)

Teen Parent (Required)

Please provide your current living address.

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

Second Family Member/Guardian: Enter the full name as it appears on the ID. Please answer all questions as applicable.

Is there another parent/guardian in the family?

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 (Required)

Opt In for Text Messages

Home Phone (Required)

Work Phone (Required)

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

Hispanic

English Proficiency (Required)

Other Language (Required)

Other Language Proficiency

Highest Grade Completed

Employment Status (Required)

Child's Relationship (Required)

Custody (Required)

Lives with Family (Required)

Provides Financial Support (Required)

Teen Parent (Required)

Are there other adults in the household?

Add Another Adult

This section has additional questions about your family, please answer all questions as applicable.

Number of Parents/Guardians (Required)

Relationship to Participant(s) (Required)

Primary Language at Home (Required)

Is another language being acquired or learned at home?

Number in Household (Required)

Number in Family (Required)

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? (Required)

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

Is at least one parent/guardian an active duty member of the United States military? (Required)

Is at least one parent/guardian a veteran of the United States military? (Required)

Please provide information about the child you are applying for.

First Name (Required)

Middle Name

Last Name (Required)

Birthday (Required)

Gender

Race (Required)

Hispanic (Required)

English Proficiency

Other Language

Other Language Proficiency

Primary Health Coverage (Required)

Other Coverage

Medicaid Eligibility (Required)

Doctor/Medical Home (Required)

Dentist/Dental Home (Required)

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

Are there other children in the family?

Add a Sibling

Thank you for your application. Once your application has been processed completely, you will be notified by CUI’s Admissions Office whether your child has been officially accepted, or placed on the waitlist. Applicants who qualify for tuition assistance will be required to attend an in-person interview at their respective Creative Start center, prior to being waitlisted. In providing services to children and their families, Communities United, Inc. does not discriminate on the basis of race, religion, cultural heritage, national origin, gender, political belief, marital status, sexual orientation, or disability. Sincerely, Admissions Staff Communities United, Inc. Creative Start Children's Centers www.communitiesunitedinc.org 617-744-6076

Required information is missing, see above.

Parent/Guardian

Address

Additional Parent/Guardian

Other Adults

Family Information

Child (Applicant)

Location Preferences

Additional Applicant

Siblings