ECEAP
The Early Childhood Education and Assistance Program (ECEAP) is a comprehensive preschool program that provides *FREE* services and support to eligible children and their families. We serve families in Clark, Cowlitz, Klickitat, and Pacific Counties.

Child must be 3 or 4 years of age as of August 31st of the school year. Children cannot be enrolled in Head Start and ECEAP at the same time.

Email address *
What is your Child's full name? *
First, Middle, Last
Your answer
What is your child's date of birth? *
(Child must have turned 3 by August 31st of the current school year up to Kindergarten eligibility)
MM
/
DD
/
YYYY
Parent/Guardian Name *
Your answer
Parent/Guardian Contact Phone Number
Your answer
What is the Family's Primary Language?
Your answer
What is your family size? *
Your answer
What is your family's gross monthly income?
Please include SSI, TANF, Worker's Compensation, Child Support, Disability, Retirement, or any other type of income.
Your answer
What is your family's gross annual income?
Please include SSI, TANF, Worker's Compensation, Child Support, Disability, Retirement, or any other type of income.
Your answer
“Do you receive a child-only TANF cash grant or are a relative caring for this child?” *
( i.e. Grandparent or aunt/uncle)
How did did you hear about ECEAP?
Your answer
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