Forms

As a parent and/or primary caretaker, you are responsible for completing and submitting the forms below as part of your child's enrollment process.

If you have any questions, please call us at (847) 213-0899 or contact us at [email protected].

Tadpoles | My Teaching Strategies
Brightwheel

Mosaic Early Childhood Forms

Mosaic Application for Admission

Download

COVID-19 Waiver

Download

Physical 

Download

Mosaic Parent Handbook

Download

Mosaic Referral Program

Download

DCFS Summary of Licensing Standards

Download

Child Care Assistance Program (CCAP) Forms

More information available here.

Self-Employment Record

This form is in lieu of paystubs. Please use this form if you work for Uber, Lyft, Instacart, etc.

Download

Wage Verification

This form is in lieu of paystubs. Please use this form if you not yet received two pay stubs from your job or if you get paid in cash or personal check.

Download

Change of Information Form

Please use this form if you want to add a child or if your job, school, or home situation has changed.

Download

Redetermination Form

Please use this form if your approval is expiring.

Download

Application | Montessori on Oakton

Download

Provider Change | Montessori on Oakton

Download

Application | Under 3 Over 5 - Siblings | Center on Dempster

Download

Application | 3 to 5 - No Siblings | Center on Dempster

Download

Provider Change | 3 to 5 - No Siblings | Center on Dempster

Download

Provider Change | Under 3 Over 5 - Siblings | Center on Dempster

Download

Application | Academy on Addison

Download

Provider Change | Academy on Addison

Download

Scholarship Forms

Niles Township Scholarship

Download

New Trier Child Care Scholarship

Download

Fully Funded (Free) Programs

Prevention Initiative (Center-Based): Birth - 3 Years Old
Preschool For All: 3 Years Old - 5 Years Old 

High quality early childhood education is never out of reach. Mosaic offers free programs that utilize research-based, ISBE supported methods to provide children with a sturdy foundation for lifelong learning.

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