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Please complete all required fields!
Please complete all 7 sections of the application to the best of your ability. If you are currently pregnant, please indicate the last name of the child and the due date. Note: When the child is born please call the enrollment department at Rosemount Center to update the information.
Note: EHS/OSSE applicant must be a DC resident in order to qualify for the program.
Center-based
Home-based
Infant/Toddler (0-3 yrs)
Pre-school (3-5 yrs)
Male
Female
Yes
No
Lives with Family
Provides Financial Support
Teen Parent
No Parent
One Parent/Adult
Two Parents/Adults
To be considered for Early Head Start and/or DHS (District of Columbia), please indicate which of the following services your family receives. (Check all that apply)
Medical Financial assistance (i.e. Medicaid/Medicare)
Public assistance/Welfare (i.e. TANF)
Food Stamps
Women, Infants, and Children (WIC)
Supplemental Security Income (SSI)
Foster care/Adoption subsidy
Unemployment Insurance
Public Housing Assistance
Energy Program Assistance
Child support/Alimony
DHS Voucher
Other/Specify
For Tuition questions or clarification, please contact Marcia Rock at (202) 265-9885 ext.138.
For Early Head Start or OSSE questions, please contact Karla Alvarado at (202) 265-9885 ext. 104.
View the Admissions Applications: