Thank you for your interest in Martha’s Table Nationally Accredited Early Childhood Education Program. Please fill out the form below to express interest in our Martha's Table Centerbase or Family Visiting Programs. If you have any questions, you can get in touch with us by email at educationprograms@marthastable.org or speak with Joel Lopez, our Admissions & Outreach 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 (Required)
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 (Required)
Yes
No
Provides Financial Support (Required)
Yes
No
Teen Parent (Required)
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)
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 (Required)
Biological/Adopted/Step
Foster
Grandchild
Other
Other Relative
Provides Financial Support (Required)
Yes
No
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 (Required)
One Parent Family
Two Parent Family
Relationship to Participant(s) (Required)
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 (Required)
American Sign Language
Amharic
English
Spanish
Number in Family (Required)
Gross Annual Income
Is your family receiving cash benefits or other services under the Temporary Assistance for Needy Families (TANF) program? (Required)
Yes
No
Is your family receiving Supplemental Security Income (SSI)? (Required)
Yes
No
Is your family receiving services from WIC? (Required)
Yes
No
Is your family receiving services under the Supplemental Nutrition Assistance Program (SNAP), formerly referred to as Food Stamps? (Required)
Yes
No
Child (Applicant)
First Name (Required)
Middle Name
Last Name (Required)
Birthday (Required)
Gender (Required)
Female
Male
Does your child have a disability or do you have any concerns about your child's development? (Required)
Yes
No
Is there anything else you want to tell us about your child?
How did you hear about us (Required)
A Case Worker from DHS or another organization
Bus or Metro Ad
Community Events
Facebook
I Live Close By And Saw The Sign
Instagram
Internet Search
Martha's Table Flyer
Martha's Table Website
Other Martha's Table Program
Previous children were enrolled
Referred by an enrolled family
Referred by an MT Staff Member
Winnie.com
Word of Mouth
You are already enrolled
Your Apartment Complex
IEP or IFSP? (Required)
Yes
No
Location Preferences
Which program are you applying for? (Required)
The Maycroft: '2023-'2024 School Year
Maycroft-NW (6 weeks-3 years)
The Maycroft NW: FALL ENROLLMENT
Process will start in July 2024
The Commons SE: FALL ENROLLMENT
Process will start in June 2024
The Commons: Family Visiting
Home-Based Program (0-3 years)
The Commons: '2023 - 2024 School Year
Commons SE (6 weeks-4 years)
Location Preference
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1st Location Preference
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2nd Location Preference
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3rd 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
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 from noreply@childplus.net and an email from Educationprograms@marthastable.org confirming your submission within 2 business days. Please also check your Junk folder and Spam as sometimes our emails land there.
Required information is missing, see above.