To submit an online application for our program, please click here:
Please fill out the online application, and make sure you fill in each field. Please note that your application will not be complete until we have received all required documentation. When submitting an application, we will need the following information to establish the requirements for enrollment: Age verification: (Copy of child’s Birth Certificate or proof of live birth); Proof of Income: (We need at least one of the following documents – Tax Forms, W2, 1040, etc., Past 2 months consecutive pay stubs, or Signed letter from Employer stating salary.)
After enrollment, the following information is needed: Copy of Child’s most current Immunizations, Copy of Medical Card, Insurance Card, and/or CDIB card, Completed Well-Child Check or Physical Form, Dental Appointment, and Paperwork on Child’s Disability, if applicable.
If you need help getting any of this information or filling out the application, or if you have questions, please contact us at:
Or visit us at:
301 N 6th St