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New Student

New Student Form

Note: All fields are required except Address 2.

First Name

Last Name

Email Address

STARS ID

Get a STARS ID.

Your STARS ID is required to receive STARS hours for completing this training. If you forgot your STARS ID, click the 'Get a STARS ID' link and search MERIT.

Job Role

ECEAP Licensed

ECEAP is Washington's pre-kindergarten program. ECEAP providers who are in a licensed program select this role.

ECEAP Only

ECEAP is Washington's pre-kindergarten program. ECEAP providers who are NOT at a licensed facility select this role.

ESIT Agency Admin

Includes program directors, executive directors or other administrators with an EPA or CLA

ESIT Intake and Referral

Includes any professional whose primary responsibility is to process referrals and conduct or coordinate intake visits.

ESIT Service Provider: FRC

Includes any professional who is designated as a Family Resources Coordinator

ESIT Service Provider: Other

Other – Includes therapists, educators, social workers, etc.

Friend/Neighbor Care (FFN)

Others who help families by providing child care who are not in a licensed program select this role.

Licensed Child Care

Licensed Family Homes and Child Care Centers select this role.

School District Partner

Set up for ESIT School District Partners not affiliated with an ESIT Program

State-Approved Trainer

Tribal Relative/Non-Relative Provider

Select this role if you are a Tribal Relative/Non-Relative Provider.

ESIT Program

(Hint: You can type into the drop down above to narrow your search)

Address 1

Address 2

City

State

Zip

County

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