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Early Learning Coalition Family Upload Utility
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Personal Information
Parent is a FIRST TIME APPLICANT
Parent is APPLYING FOR REDETERMINATION (RENEWAL OF EXISTING SERVICES)
Name
Middle Initial
Last Name
Phone Number
Cell Phone
Birthdate
Social Security Number (Not required)
Zip Code
Preferred Method of Contact
-- Select one --
Email
Text Mobile
County
-- Select One --
Miami-Dade
Monroe
Account Information
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Password
Confirm Password
Security Question
Security Answer
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