Early Learning Center
application
Program you want to apply for*
Time slots for Tuition ONLY
(excluding HTE)*
Student's Name*
Student's Demographics*
Is your child currently enrolled in an Early Learning Program*
Parent/Guardian Name*
Parent/ Guardian Demographic*
Are you a Indian River School District Employee?*
Current Address*
Phone Number*
Email Address*
Family Demographics*
Income Verification
Depending on the program choice, parents will be asked to submit one income documentation
-
2 most recent pay stubs
-
W-2's
-
Income Tax Form 1040
-
TANF documentation
-
Unemployment
-
Written statements from employers
-
SSI documentation
*I verify that the information that I have submitted is true and correct, I understand that I might be asked to verify this information*