Educational Equity & Enrichment Hub Application

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Programs located at Stedwick Elementary School (10631 Stedwick Rd, Montgomery Village, MD 20886) and Whetstone Elementary School (19201 Thomas Farm Rd, Montgomery Village, MD 20886) operate Monday - Friday from 8:30am - 5:30pm.

Programa está ubicado en la escuela primaria Stedwick (10631 Stedwick Rd, Montgomery Village, MD 20886) y Whetstone Elementary School (19201 Thomas Farm Rd, Montgomery Village, MD 20886) operará de lunes a viernes de 8:30 am a 5:30pm.

Parent/Guardian First Name / Primer nombre del padre / guardián *

Parent/Guardian Last Name / Apellido del padre / guardián *

Parent/Guardian Email / Correo electrónico del padre/guardián *

Parent/Guardian Cell Phone / Teléfono celular del padre/guardián *

Street Address / Dirección *

Apartment or Unit # / Número de apartamento o unidad

City / Ciudad *

Zip Code / Codigo postal *

Phone Number / Número de teléfono *

Are you a... / Es Usted... *

single parent 18 years +/ padre o madre soltero/a (mayores de 18 años)

single parent under 18 years old/ padre o madre soltero/a (menores de 18 años)

married / casado/a

a foster parent / padre o madre adoptivo/a

Otro

Other:

How many total people are in your household? / ¿Cuántas personas en total hay en su hogar? *

One / Uno

Two / Dos

Three / Tres

Four / Cuatro

Five / Cinco

Six / Seis

Otro

Other:

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