Please fill out the application to the best of your ability.
Click here to find a provider in your area.

Are there other adults in the household?

Add Another Adult
- 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
For an application to be considered complete, please submit the following with your application: 1. Income Verification - Check Stubs ( Last current 2 stubs ) - TANF - SSI - Statement ( Verified ) 2. Birth Certificate 3. Certificate of Indian Blood 4. Immunizations ( Current hospital print or card copy with a hospital print. ) 5. Map ( Drawn to your home's physical location. ) 6. IEP ( Attached ) 7. IFSP ( Attached )
Required information is missing, see above.