Please complete all information thoroughly. We will be contacting you to complete some forms and finish the recruitment process for eligibility. Once all forms are completed, children will be placed on the waiting list for selection.
Please fill in as much information as possible.
Our program services families that live in the following Northern areas: Burrillville, Foster, Glocester, Johnston, North Providence, North Smithfield, Smithfield, Scituate. In Southern RI we service these areas: Block Island, Charlestown, Exeter, Hopkington, Narragansett, Richmond, South Kingstown, and Westerly. If you do not live in one of these areas, please call 401-519-1979 and we can give you the information to the program you should be applying to.
Click here to find a provider in your area.
Secondary Adult-is another adult who lives with you and contributes to the support of the child. Examples: parent, step parent.

Are there other adults in the household?

Add Another Adult
Please complete all demographic information. We are a federally funded program so families do need to be under the income guidelines to apply. Once we have your application, we will call or email you to check your gross annual income (what you earn-not what you take home). If you are homeless, are applying for a foster child, or have no income, please let the recruiter know when they call you.
Please provide information on the child you are applying for.
- 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
If you have questions, please contact us at
Required information is missing, see above.