Waitlist English Form Step 1 of 7 14% Phone: 831.393.2246 | Fax: 831.393-2247 | Address: 1274 Broadway Avenue, Seaside, CA 93955Parent or Guardian AName(Required) First Last Home Phone(Required)Work PhoneAlt / Cell PhoneEmail(Required) Preferred Language:(Required) Date of Birth (MM/DD/YYYY)Address(Required) Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Parent or Guardian BName First Last Home PhoneWork PhoneAlt / Cell PhoneEmail Preferred Language: Date of Birth (MM/DD/YYYY)Address Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code List all Children Living in the HomeChildren(Required)Last NameFrist & Middle NameGender: (F/M)Date of Birth (MM/DD/YYYY)Need Childcare: (Yes, No) Add RemovePlease select + to add more children Payment MethodPayment Type(Required) Private Alternative Payment Program: MAOF/OTHER Calworks Subsidized Services (If you are requesting subsidized services, you must complete an additional section below.) Alternative Payment Program(Required) MAOF Other Calworks Case #:(Required) Subsidized CareIf you are requesting subsidized care, you must complete this section, or your application will be considered incomplete. (Please select all that apply one for each parent in household)Incapacitated due to medical or psychiatric special needs Parent A Parent B Working Parent A Parent B Receiving Education or Training Parent A Parent B Actively seeking employment Parent A Parent B Actively seeking permanent housing Parent A Parent B Child Protective Services Parent A Parent B Please indicate all locations that interest youLocations(Required) Avondale Early Education Center 1405 La Salle Avenue Seaside, CA 93955 : (Toddler/Preschool) Crescita Early Education Center 1494 Schilling Place Salinas, CA 93901 : (Infant/Toddler/Preschool) Highlands Early Education Center 1650 Sonoma Avenue Seaside, CA 93955 : (Preschool) Peninsula Center for Infant & Toddler Development 780 Elm Avenue Seaside, CA 93955 : (Infant/Toddler) Betteravia Early Education Center 2125 way Santa Maria, CA 93455 : (Preschool) CSUMB Child Development Center 100 Campus Drive, Building 91 Seaside, CA 93955 : (Toddler/Preschool) Orom Children’s Center 1752 E Alisal Street Salinas, CA 94905 : (Infant/Toddler/Preschool) Tisztelet Children’s Center 1284 Broadway Avenue Seaside, CA 93955 : (Infant/Toddler) FCCN: EDS has a network of family childcare Educators that operate from their homes throughout Monterey County and lower Santa Cruz County. Avondale Early Education Center(Required) Toddler (18 months-potty taught) Preschool (Potty taught to entry Kindergarten) Crescita Early Education Center(Required) Infant (6 weeks-24 months) Toddler (24 months-potty taught) Preschool (Potty taught to entry Kindergarten) Highlands Early Education Center(Required) Preschool (30months to entry Kindergarten) Peninsula Center for Infant & Toddler(Required) Infant (6 weeks-12months) Toddler (12months-24months) Betteravia Early Education Center(Required) Preschool (Potty taught to entry Kindergarten) CSUMB Child Development Center(Required) Toddler (12months--potty taught) Preschool (Potty taught to entry Kindergarten) Orom Children’s Center(Required) Infant (6 weeks-24 months) Toddler (24 months-potty taught) Preschool (Potty taught to entry Kindergarten) Tisztelet Children’s Center(Required) Infant (6 weeks-24 months) Toddler (24 months-potty taught) Requested ScheduleAdd your preferred drop-off and pick-up timeMonday Start: Hours : Minutes AM PM AM/PM Monday End: Hours : Minutes AM PM AM/PM Tuesday Start: Hours : Minutes AM PM AM/PM Tuesday End: Hours : Minutes AM PM AM/PM Wednesday Start: Hours : Minutes AM PM AM/PM Wednesday End: Hours : Minutes AM PM AM/PM Thursday Start: Hours : Minutes AM PM AM/PM Thursday End: Hours : Minutes AM PM AM/PM Friday Start: Hours : Minutes AM PM AM/PM Friday End: Hours : Minutes AM PM AM/PM OtherAre you affiliated with (student, staff, faculty, etc.): CSU Monterey Bay Hartnell College Are you employed by: Monterey County Santa Barbara County How did you hear about EDS?(Required) Drive By Internet Previous Client Print Advertisement Sibling in Care Word of Mouth Other Income Sources (write in dollar amount per month for each source)Attach 1 month work of paycheck stubs from the last 60 days or an employment verification formWork/Employment:(Required)(Parent A)(Parent B)write in dollar amount per month, enter 0 if noneChild Support Received:(Required)(Parent A)(Parent B)write in dollar amount per month, enter 0 if noneUnemployment Benefits:(Required)(Parent A)(Parent B)write in dollar amount per month, enter 0 if noneState Disability:(Required)(Parent A)(Parent B)write in dollar amount per month, enter 0 if nonePublic Assistance/TANF/Cash Aid:(Required)(Parent A)(Parent B)write in dollar amount per month, enter 0 if noneFinancial Aid:(Required)(Parent A)(Parent B)write in dollar amount per month, enter 0 if noneChild Support Paid Out:(Required)(Parent A)(Parent B)write in dollar amount per month, enter 0 if noneOther:(Required)(Parent A)(Parent B)write in dollar amount per month, enter 0 if noneIncome AttachmentsAttach 1 month work of paycheck stubs from the last 60 days or an employment verification form. Drop files here or Select files Accepted file types: pdf, jpg, gif, png, Max. file size: 10 MB, Max. files: 8. Attach 1 month work of paycheck stubs from the last 60 days or an employment verification form.Accepted file types: jpg, pdf, gif, png, Max. file size: 10 MB. About Us We would like to take a minute to share some things to consider when choosing Early Development Services to care for your child. We respect the children in our care and demonstrate our respect in all of our interactions with them. Respecting a child means treating even the youngest of infants as a unique human being not as an object. We do not do things to them, we do things with them. It is not just a matter of being nice but of being constantly aware that all children are sensitive to everything done to them and should not be treated to suit the adults agendas. Our beliefs: We value the ability of all children to participate in routines that affect them and their independent activity. We value significant, authentic but consciously conducted relationships in which the adults, do not burden the children with their own expectations and the importance of giving this relationship a form suitable to a group care setting. We encourage attachment but not dependency. grasp as soon as possible and know: who he is, what is happening to him, what he is doing, and what is being done to him, who takes care of him, what kind of environment he is in, what his situation is, and what will happen to him both now and in the future. There are also some specific house guidelines that we follow: Our role is to create an environment in which the child can do all the things the child would do naturally. We do not interrupt when a child is actively involved in play as that is how children learn. When a child is working on a skill, we support them in the acquisition of that skill by being observant and determining what assistance they need if any. For example, when a child is learning how to put on their own shoes and they get them on the wrong feet, we encourage their skill by avoiding telling them they are wrong. We will instead ask if their feet are comfortable. If the child is comfortable, we celebrate their success with them. If they are uncomfortable, we facilitate by asking prompting questions such as “what can you do to make your feet more comfortable?” We do not force children to share. It is not realistic to try to get children to share before they have developed the cognitive and emotional ability to do so. If we sense that the situation might escalate, we intervene in the smallest way possible. Initially this may be to move closer in a gentle, peaceful way. We do not try to find out who had the object first or to dictate the result but will keep the child safe through the stages of moral development. If a child takes away a toy from another child and the other child does not protest, the adult does not try to impose her/his values on young children by rescuing or returning the object. We believe that children learn more genuinely from open ended experiences facilitated by the entire community of the school than by sit down adult focused directives. In our program, children will interact with other children, adults and a carefully developed environment to create a curriculum that will emphasize the development of the whole child socially, physically and intellectually. We provide sensory based experiences. Our children are provided opportunities daily to play that include water, sand, dirt, paint, glue, and the list goes on and on. These experiences help them grow and master skills emotionally, physically and creatively. They also provide encounters with math, science and social studies. Because we offer these activities, you can expect your child to come home messy! We close early the third Wednesday of each month. During this time, we participate in comprehensive in-service trainings to continue to develop our skills. Additionally, EDS is closed for one week between Christmas and New Years. Thank you for your interests in our program! We look forward to getting to know you and your children!SignatureI certify that this information is true and accurate as of the date it is submitted. I understand that if I am contacted for an opening and my income has changed, I may not be eligible at the time.In order to remain active on the Early Development Services Waiting List, I must keep my information current. Δ