Dear Parent (s) \ Guardian (s). Thank you for visiting our application page. (Please note all information shared with us is strictly confidential). Please complete the entire application to begin the registration process. If you have any questions about how to fill out this application, please email ECEDapplication@cmcs.org.
Parent/Guardian
First Name (Required)
Last Name (Required)
Birthday (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
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.
Address
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
Primary Language at Home
African
American Sign Language
Caribbean
East Asian
English
European & Slavic
Middle Eastern & South Asian
Native Central American, South American & Mexican
Other
Pacific Island
Spanish
Spanish
Unspecified
Is another language being acquired or learned at home?
Yes
No
Child (Applicant)
First Name (Required)
Last Name (Required)
Birthday (Required)
Location Preferences
Which program are you applying for? (Required)
Head Start
Children Ages 3-5 years old
Early Head Start
Pregnant Women, and Children Ages 0 to 3
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
Siblings
Are there other children in the family?
Add a Sibling
Thank you for completing the application , a staff member will be in touch with you soon. Please visit our web site (https://cmcs.org), and our Facebook page (https://www.facebook.com/cardinalmccloskey) for more information about our programs.
Required information is missing, see above.