Recruitment Information Form

Thank you for your interest in enrolling your child at Educare Chicago. To get started, please complete the information below and someone will contact you within 3-5 business days. Applications will be kept on file for one school year. 

Click here to see our full eligibility requirements.

Please note that this is a Head Start/Early Head Start program and all families enrolled must meet the federal income guidelines. 

Primary Parent/Guardian Information




Date of Birth
Please add dashes in between your phone number.

Enrolling Child Information

Child’s Date of Birth or Due Date

NOTE: If you are enrolling more than one child, please click “add another response” to include their information.

Employment and Education Information


Please note that this is a Head Start/Early Head Start program and all families enrolled must meet the federal income guidelines.
Please include yourself, significant other/spouse and your dependents.

Contact Information