Step 1 — Submit Your Application

Enrollment Application

Complete the form below to begin your application and schedule your required tour.

Child Information

Child's Name*

Date of Birth*

How old will your child be on the date of enrollment?*

Child's Gender*

MaleFemalePrefer not to say

Academic School Year*

Has your child ever attended a childcare center before?*

YesNo

Are you interested in using subsidy?*

YesNoUnsure

Program of Interest*

Parent / Guardian Information

Name of Parent or Guardian*

Email*

Phone Number*

Address*

Mailing Address (if different from above)

What is the best way to contact you regarding enrollment?*

EmailPhone callText message

How did you hear about STEM Prep?

Schedule Your Required Tour

Please select your preferred tour date and time.

Preferred Tour Date*

Preferred Tour Time*

Privacy Policy & Disclaimer

Privacy Policy: The information you share on this form is for internal use only and will not be shared with any third parties. It is the policy of STEM Prep to ensure equal opportunity to services without discrimination or harassment on the basis of race, color, religion, sex, sexual orientation, gender identity or expression, age, disability, marital status, citizenship, genetic information, or any other characteristic protected by law.

Disclaimer

I understand that the $51.97 nonrefundable application fee is not a guarantee for enrollment but a request for my application to be considered for enrollment.
Once my application is submitted I will be prompted to schedule a required tour for enrollment consideration.
I am required to bring my child along with me for the tour.
I understand that once invited to proceed with the enrollment process, enrollment is not guaranteed until the non-refundable registration fee is paid (waived for subsidy families).

I agree to the proceeding disclaimer*

Yes, I agreeNo, I do not agree

Questions? Call (267) 687-2402