Apply Online

Thank you for your interest in the Indian River School District Early Childhood Assistance Program (ECAP). We accept applications throughout the school year. The Family Service Coordinator will contact you to review the application with you in person or over the phone (your preference) and to provide child's birth certificate, proof of residency and proof of income. Children who are homeless, in foster care, and families who receive SNAP recipients are categorically eligible. Please speak call for assistance to determine your best document options for proof of residency and income. Please make sure that ASQ-3 and ASQ-SE2 screenings for the 2023-2024 school year are completed after January 1st, 2023! Screenings must be completed PRIOR to application. **Applying for the program does not guarantee placement into the programs. Selections for all programs will be done on June 2,2022.***

First Name (Required)

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

Highest Grade Completed

Employment Status

Child's Relationship

Custody

Lives with Family

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)

Last Name (Required)

Birthday (Required)

Gender

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

Employment Status

Child's Relationship

Custody

Lives with Family

Are there other adults in the household?

Add Another Adult

Primary Language at Home

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?

Is at least one parent/guardian an active duty member of the United States military?

Is at least one parent/guardian a veteran of the United States military?

First Name (Required)

Last Name (Required)

Suffix

Birthday (Required)

Gender

Race

Hispanic

English Proficiency

Primary Health Coverage

Doctor/Medical Home

Dentist/Dental Home

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

Thank you for your interest in the Indian River School District Early Childhood Assistance Program (ECAP). By clicking the button below you certify that the information you have provided is complete and accurate. I understand that I will be asked to verify all the information and documents requested. A representative will contact you for additional information.

Required information is missing, see above.

Parent/Guardian

Address

Additional Parent/Guardian

Other Adults

Family Information

Child (Applicant)

Location Preferences

Additional Applicant

Siblings