Application

Licensed Program Name*

OCCL License #*

Licensed Capacity

Business # / EID / Tax ID

NAEYC Accredited?

Type of Program*

Program Physical Address*

Street Address Address Line 2 City State ZIP Code

Mailing Address (if different)

Street Address Address Line 2 City State ZIP Code

Program Phone #*

Cell Phone #

Program Email*

Enter Email Confirm Email

Contact Person (include their title, i.e. "Administrator, Owner, Director"*

Age range of children accepted*

Name of School District

Type of Purchase of Care Accepted

Number of dual language children enrolled

Number of children with disabilities currently enrolled

Are you serving children who are homeless?

Do you serve military families?

Has this program ever been enrolled in STARS?

How did you find out about Delaware Stars?

If you selected "other", let us know how you heard about STARS

Why did you decide to join Delaware Stars?

Phone

This field is for validation purposes and should be left unchanged.

Delaware Stars for Early Success