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This application is divided into the following 4 sections:
1. Parent/Guardian Information
2. Child and Program Information (Children must be between the ages of 5 and 15)
3. Employer and Salary Information
4. Electronic Submission of Required Supporting Documentation
Be sure to consult our Application Guidelines to check eligibility for EAM assistance.
Please note: This form can support applications for up to three children and three programs. If you wish to apply for more than three children and/or programs, please submit an additional application. You will not need to resubmit duplicate documentation. We apologize for any inconvenience.