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Enroll your child
Pre-Application Form
All fields marked with an asterisk (*) are required.
Parent/ Guardian Information
Name:*
Address:*
City:*
State:
Best number to be reached:*
Email address:
Child's Information
Child’s name:
Child’s date of birth:*
Voucher
Do you currently have a voucher?
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Are you eligible for a voucher?
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Services
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Impact:
637 children participated in the Early Childhood Education Programs
6,506 volunteer hours were provided
Success:
At WSEM’s Head Start Program, Carilyn's daughter is receiving the special education and care she needs in a safe environment.