top of page
Mosaic-Header BG-01_edited.jpg
  • Facebook
  • Instagram
  • LinkedIn
  • Youtube

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) 696-6830 or contact us at info@mosaicearlychildhood.com.

Mosaic Early Childhood Forms

Mosaic Application for Admission

The application packet will be emailed to you once you are registered.

Mosaic Application for Admission

Refer a family and get rewarded!

Physical

All students are required to have a current physical on file.

Child Care Assistance Program (CCAP) Forms

More information available here.

Initial Application

We will help you fill out your initial application once you are registered at Mosaic!

Self-Employment Record

This form is in lieu of paystubs. Please use this form if you work for Uber, Lyft, Instacart, etc.

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.

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.

Redetermination Form

Please use this form if your approval is expiring.

Local Scholarship Forms

Niles Township Scholarship

New Trier Child Care Scholarship

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.
bottom of page