Early Learning Center
application
Program you want to apply for*
Time slots for Tuition ONLY
(excluding HTE)*
Student's Name*
Student's Demographics*
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Is your child currently enrolled in an Early Learning Program*
Parent/Guardian Name*
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Parent/ Guardian Demographic*
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Are you a Indian River School District Employee?*
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Current Address*
Phone Number*
Email Address*
Family Demographics*
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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*