Enrollment and Forms

In order to begin the pre-application process, please make sure that you have the following information available:

Portrait of African Mother — Child Development Centers in Detroit, MI
  • Child's name
  • Child's date of birth
  • Parent or Guardian name
  • Parent or Guardian date of birth
  • Child Medicaid I.D. # or Birth Certificate #
  • Source and amount of income:
  • Pay stub or pay envelope
  • W-2
  • Unemployment
  • Social Security
  • SSI
  • Income Tax Form 1040
  • Foster care reimbursement
  • DHS grant statement
The Pre-Application form must be completely filled out. Once the form is complete please review the information for accuracy and print a copy of the form for your record prior to submission. You will not be able to save information entered on the form. Once your pre-application form is received you will be contacted by our office. Please note that completion of the pre-application form is not an official acceptance of your child in the program. Your family must meet income eligibility requirements and your child must be age eligible to enroll in the program.

Additional Requirements

1. 1. A complete physical examination that includes the following immunizations and screenings:
  • ¨ DTP
  • ¨ IPV “Polio”
  • ¨ MMR
  • ¨ HIB
  • ¨ HEP B
  • ¨ DTP
  • ¨ IPV “Polio”
  • ¨ MMR
  • ¨ HIB
  • ¨ HEP B
  • ¨ DTP
  • ¨ IPV “Polio”
  • ¨ MMR
  • ¨ HIB
  • ¨ HEP B
2. 2. A complete dental screening
Please print the Health Appraisal Summary and the Oral Health Record (Dental Form) to take with you to your child's doctor or dentist appointment. The Health Appraisal Summary must be signed, dated, and stamped by the Doctor. The Oral Health Record form must be signed, dated, and stamped by the Dentist.
Please feel free to contact us at (313) 432-1000 if you have any questions.

Below is a list of the required documentation. For more specific instructions about enrollment, please click on the Enrollment tab.

Pre-Enrollment Form — Child Development Centers in Detroit, MI
Pre-Application Form
Download to your computer, complete, and email or return back to our office.
Dental Form — Child Development Centers in Detroit, MI
Dental Form
1. Download and print this form 2. Bring the form to your child's dentist appointment. **The Oral Health Record form must be signed, dated, and stamped by the Dentist
Health Appraisal Summary — Child Development Centers in Detroit, MI
Health Appraisal Summary
1. Download and print this form 2. Bring the form to your child's doctor's appointment. **The Health Appraisal Summary must be signed, dated, and stamped by the Doctor