Admission Information

Finding and enrolling in an early childhood program can be daunting. Let us help you with the process. 

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

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Mosaic Early Childhood Forms

Mosaic Application for Admission

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COVID-19 Waiver

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Physical 

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Mosaic Referral Program

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DCFS Summary of Licensing Standards

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Intent Form

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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.

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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.

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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.

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Redetermination Form

Please use this form if your approval is expiring.

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Application | Montessori on Oakton

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Provider Change | Montessori on Oakton

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

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

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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

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Provider Change | Academy on Addison

Download

Scholarship Forms

Niles Township Scholarship

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New Trier Child Care Scholarship

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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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