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Thank you for your interest in our Early Programs! Please complete this pre-application as completely as possible to help us determine the best placement for your child. Intentionally leaving information blank could delay the processing of your pre-application. Income should be your best estimate at the time of filling out this pre-application.

If you have any questions or concerns about your application, please call us at 360.782.5065 or email ersea@oesd114.org and we can help you with next steps. If is your preference you may also fill out your application on paper and in-person.

Thank you for your interest in the program.

*Pregnant Mothers Applying - Under child application, you will be answering questions about your child as if they have already been delivered. For instance, Child's Date of Birth will be your expected due date.

**If you happen to get an error message that says, "It appears that you have previously submitted an application. If you want to apply again, please contact us by phone or in person." Please call 360.782.5065. Submitting a duplicate family application could delay the process.

Please complete this section for the primary parent/guardian of this child.

First Name (Required)

Middle Name

Last Name (Required)

Birthday (Required)

Gender

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

Other Language

Other Language Proficiency

Highest Grade Completed

Employment Status

Child's Relationship

Custody

Lives with Family

Provides Financial Support

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

Is there another parent/guardian in the family?

First Name (Required)

Middle Name

Last Name (Required)

Birthday (Required)

Gender

Email Address

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

Other Language

Other Language Proficiency

Highest Grade Completed

Employment Status

Child's Relationship

Custody

Lives with Family

Provides Financial Support

Number of Parents/Guardians

Relationship to Participant(s)

Primary Language at Home

Is another language being acquired or learned at home?

Number in Household

Number in Family

Gross Annual Income

Is your family receiving cash benefits or other services under the Temporary Assistance for Needy Families (TANF) program?

Is your family receiving Supplemental Security Income (SSI)?

Is your family receiving services from WIC?

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

First Name (Required)

Middle Name

Last Name (Required)

Nickname

Birthday (Required)

Gender

Race

Hispanic

English Proficiency

Other Language

Other Language Proficiency

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

By clicking Save and Continue you are submitting your Family Pre-Application. The next page will send you to a separate and secure website for uploading your required age and income documentation. We will be contacting you to complete the application process. We will also send you an email with further instructions. If you have any questions or concerns about your application, please call us at 360.782.5065 or email ersea@oesd114.org and we can help you with next steps. If is your preference you may also fill out your application on paper and submit documentation in-person.

Required information is missing, see above.

Parent/Guardian

Address

Additional Parent/Guardian

Family Information

Child (Applicant)

Location Preferences

Additional Applicant

Siblings