List your phone number so we can get ahold of you. We need you to bring us the following information after this application is filled out Birth Certificate 12 months of income for the family (mom and Dad or legal guardian) Example: tax return 12 months of pay stubs or W-2, Unemployment, child support etc...
Please add your physical address as well as your mailing address
Click here to find a provider in your area.
List Secondary adult in this section if they live with the child and are related by blood, marriage or adoption to child you are applying for. There will be another area to add an additional adult not living with child.

Are there other adults in the household?

Add Another Adult
Include ALL family members in the household including other children living in the home who are related to the child you are enrolling by blood, marriage or adoption. We need to know the size of our family.
List the child's name of whom you are applying for pre-school services
- 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 filling out the online application. Don't forget to give us a copy of your child's Birth Certificate and 12 months of income.
Required information is missing, see above.