Welcome!

Please complete one application per child and attach the required documents at the end of this application form. 

Eligibility to our programs is determined by child’s age and family income, not by the date you applied. The information on your application is confidential and used only to determine your child’s eligibility for our Early Learning Programs. We do not require, check, or report on immigration or DSHS status.

Please allow yourself plenty of time to complete the application. You will be asked to upload the following required documents at the end. Please have them ready.

 If you have any difficulties locating or obtaining any of the requested documents, please call our main office and ask to speak with a family advocate at (206) 393-4350.  You can still complete and submit the application, however your child's application will be considered for enrollment only after all documents are received and approved. 

Required Documents:

• Proof of Income - use all that apply:
  • 2019 Tax Return
  • 2019 W-2 form
  • Paystubs for the last 12 months
  • SSI/TANF benefits letters for the last 12 months
  • Foster Care Grant
  • Child Support
  • Employer letter stating total gross income from last 12 months

• Proof of Family Size - us one of these:
  • 2019 Tax Return that lists all members of the family
  • Lease or Rental Agreement that list all members of the family
  • Recent TANF/SSI/EBT benefit letters that list all members of the family

• Proof of Child’s Age - use one of these:
  • Birth Certificate
  • Passport/Visa
  • Adoption Papers
  • Foster Care Authorization Letter
  • Current Immunization Record
  • DOC Residential Parenting Roster

• Proof of Legal Guardianship - use one of these:
  • Birth Certificate
  • Passport/Visa
  • Adoption Papers
  • Foster Care Record
  • Written agreement signed and dated by parent and person assuming custodial responsibility

• Proof of Residency - use one of these:
  • Property Tax bill
  • W-2 Form
  • Current Mortgage Statement
  • Unexpired Lease Agreement
  • Utility Bill dated within the last 3 months (water, sewer, gas, electric, or garbage)

Please list additional people living in this child's primary household below, not including yourself or this child. 

I promise that the information on this form is true and correct. I have reported all my income and family size, as required by the Early Learning Programs. If I knowingly provide false information, I understand my family may be unable to continue program services. Additionally, if my child is enrolled in ECEAP, I may have to repay the amount spent on my child.

I understand that information from this application is entered in various Early Learning databases operated by the Department of Children, Youth, and Families (DCYF) and Puget Sound Educational Service District (PSESD DCYF and PSESD are committed to protecting confidential and personal information that could identify a child or family. No information related to immigration status is entered in the databases or shared with state or federal agencies. Information in the databases may be used for the following:

• Research studies to determine if participating in Early Learning helps children later in life.
• To prove Washington State spen ds some of their own dollars on programs for families, which is required to receive Temporary Assistance for Needy Families dollars from the federal government.

You will be asked to upload required documents on the next page. Please have your documents ready to upload.

If you have any difficulties locating or obtaining any of the requested documents, please call our main office and ask to speak with a family advocate at (206) 393-4350.  You can still complete and submit the application, however your child's application will be considered for enrollment only after all documents are received and approved. 

Required Documents:

Proof of Income - use all that apply:

2019 Tax Return
2019 W-2 form
Paystubs for the last 12 months
SSI/TANF benefits letters for the last 12 months
Foster Care Grant
Child Support
Employer letter stating total gross income from last 12 months

Proof of Family Size - us one of these:

2019 Tax Return that lists all members of the family
Lease or Rental Agreement that list all members of the family
Recent TANF/SSI/EBT benefit letters that list all members of the family
Proof of Child’s Age - use one of these:Birth Certificate
Passport/Visa
Adoption Papers
Foster Care Authorization Letter
Current Immunization Record
DOC Residential Parenting Roster

Proof of Legal Guardianship - use one of these:

Birth Certificate
Passport/Visa
Adoption Papers
Foster Care Record
Written agreement signed and dated by parent and person assuming custodial responsibility

Proof of Residency - use one of these:

Property Tax bill
W-2 Form
Current Mortgage Statement
Unexpired Lease Agreement
Utility Bill dated within the last 3 months (water, sewer, gas, electric, or garbage)