Please complete all fields. Submission of this Initial Interest Application does not guarantee enrollment in a WCCA program. Eligibility verification documents and the completion of an in-person interview are required to add your child to the waitlist. Once you have submitted your application a member of our enrollment staff will contact you to schedule an appointment within 5 business days.
All fields are required. Please complete for the child's primary parent/guardian.
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All fields are required. Please complete for the child's additional guardian or parent if applicable.

Are there other adults in the household?

Add Another Adult
All fields are required. If you are unsure of your gross annual income, please just include an estimate. You will be required to provide proof of annual income at the in-person interview.
All fields are required. Please complete only for the child(ren) you would like to enroll in a WCCA Children's Services Program.

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 submitting an Initial Interest Application for WCCA Children's Services. A member of our enrollment staff will contact you with 5 business days to schedule your in-person interview. You will be required to provide proof of income ( previous years' tax return or W2s, or pay stubs from the last 12 months), proof of your child's date of birth, proof of address, and proof of Foster Care, TANF, or SSI if applicable at your in-person interview so please begin collecting these documents.
Required information is missing, see above.