Please fill out as much information as possible. Proof of income is required to complete your application. Mail the proof of income to: ECE Programs - Application 535 East Main Street Somerset, PA 15501 or FAX to: (814)445-8924 ATTN: Recruitment Department
Please enter the following information for the primary adult:
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Please provide the following information if there is a second adult living in the home who is legally responsible for the applicant.:

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Please provide the following information for the child you are applying for:

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