PLEASE NOTE: ALL FIELDS MUST BE FILLED OUT. Please fill out the form below to express interest in our Martha's Table Nationally Accredited Early Childhood Education Program. If you have any questions, you can get in touch with us by email at educationprograms@marthastable.org or speak with Joel Lopez, our Enrollment and Recruitment Coordinator by phone at 202-516-4220.
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.
Employment Status
Full-time & Training
Full-time (35 hours/week or more)
Part-time & Training
Part-time (Under 35 hours/week)
Retired or Disabled
Seasonally Employed
Training or School
Unemployed
Custody
Yes
No
Provides Financial Support
Yes
No
Address
Please, place the address where you and your child reside. If you are homeless please give us the address of the housing location where you are currently staying at.
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
Additional Parent/Guardian
Only complete this section if the Secondary Adult is currently living in the home, being supported by the same income and related by blood, marriage or adoption.
Is there another parent/guardian in the family?
Yes
No
First Name (Required)
Middle Name
Last Name (Required)
Birthday (Required)
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
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.
Employment Status
Full-time & Training
Full-time (35 hours/week or more)
Part-time & Training
Part-time (Under 35 hours/week)
Retired or Disabled
Seasonally Employed
Training or School
Unemployed
Child's Relationship
Biological/Adopted/Step
Foster
Grandchild
Other
Other Relative
Provides Financial Support
Yes
No
Other Adults
Are there other adults in the household?
Add Another Adult
Family Information
Proof of income will be requested (TANF/SNAP benefits packet OR pay stubs, W-2 if you are employed).
Number of Parents/Guardians
One Parent Family
Two Parent Family
Relationship to Participant(s)
Foster parent(s) not including relatives
Grandparent(s)
Other
Parent(s) (e.g. biological, adoptive, stepparents)
Relative(s) other than grandparents
Primary Language at Home
American Sign Language
Amharic
English
Spanish
Number in Family
Gross Annual Income
Is your family receiving cash benefits or other services under the Temporary Assistance for Needy Families (TANF) program?
Yes
No
Is your family receiving Supplemental Security Income (SSI)?
Yes
No
Is your family receiving services from WIC?
Yes
No
Is your family receiving services under the Supplemental Nutrition Assistance Program (SNAP), formerly referred to as Food Stamps?
Yes
No
Child (Applicant)
In the NOTE BOX below please tell us: How you heard of our program?
First Name (Required)
Middle Name
Last Name (Required)
Birthday (Required)
Gender
Female
Male
Does your child have a disability or do you have any concerns about your child's development?
Yes
No
Is there anything else you want to tell us about your child?
Location Preferences
Which program are you applying for? (Required)
The Maycroft: '2023-'2024 School Year
Begins on August 29th, 2023
The Maycroft: '2022-'2023 School Year
NW-Maycroft (6 weeks-3years)
The Commons: '2022-'2023 School Year
SE-Commons (6 weeks-4years)
The Commons: '2023 - 2024 School Year
Begins on August 29th, 2023
The Commons: Family Visiting
Non-Center Based Program (0-3 years)
1st Location Preference
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2nd 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
Thank you for your interest in Martha’s Table Nationally Accredited Early Childhood Education Program. By clicking the button below, you certify that the information you have provided is complete and accurate to the best of your knowledge. You will receive and automated email confirming your submission. We will contact you soon for any next steps!
Required information is missing, see above.