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

If you are unsure if you qualify, please visit our Eligibility Page for our specific requirements and please review the Federal Poverty Guidelines for further information.

Educare Chicago is an inclusive environment that supports families with diverse learners navigate the eligibility requirements for Early Intervention. We also provide limited transportation support.

Note: Income must be verified for all parents/guardian(s) living in the home that contribute to the household income. Income is an eligibility requirement for our Early Head Start/Head Start program.

Application Form

Educare Chicago Enrollment Application

Primary Parent/Guardian Information

First Name

Last Name

Date of Birth

Month

Day

Year

Phone Number

Please add dashes in between your phone number.

What is the best time to reach you?

Enrolling Child Information

Child's Date of Birth or Due Date

Month

Day

Year

Child's relationship to you

Other Relative (please specify)

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

Occupation and Education Information

What is your gross monthly household income?

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

Do you receive TANF Cash or SSI?

Do you have fixed, stable housing?

What is your family size?

Please include yourself, significant other/spouse and your dependents.

If you have additional questions, please call 773-924-2334 or email Info@EducareChicago.org.