Application | Homewood ELC

Fields marked with * are required.

Child's Legal First Name*

Child's Legal Last Name*

Date of Birth*

Child's Home Address

Date of requested enrollment

The weekly schedule my child needs is

5 days 3 days 2 days

Parent

Mother Father

First Name*

Last Name*

Home Address*

Primary address?

Yes No

Primary Phone Number*

Email*

I am a:*

Johns Hopkins Parent Community Parent

Johns Hopkins Parent

If you wish to be considered for priority admission, you must accurately complete this information about your employment at Johns Hopkins.

JHED

Division

Affiliation

Faculty Staff Student-graduate or PhD Postdoc

Johns Hopkins Email

Community Parent

Employer

Position

Co-Parent

Mother Father

Co-Parent First Name

Co-Parent Last Name

Co-Parent Home Address

Primary address?

Yes No

Co-Parent Primary Phone Number

Co-Parent Email

Employer

Position

Name of siblings who have attended Homewood ELC:

Please explain:

You may pay the nonrefundable $45 application fee by using a credit/debit card, PayPal account, or mailing a check.

If you would like to pay by credit/debit card:
• Click Pay Now
• Enter your child’s name in the description box
• Enter the fee amount
• Do not sign in to your PayPal account if you have one and are paying by credit/debit card
• Click on “Don’t Have a PayPal Account?”
• Complete the information requested on the screen
• Return to the application and submit it after making payment. Making payment does not submit your application.

If you would like to pay using your PayPal account:
• Click Pay Now
• Enter your child’s name in the description box
• Enter the fee amount
• Log into your PayPal account
• Complete the information as prompted
• Return to the application and submit it after making payment. Making payment does not submit your application.

If you would like to mail a check:
• Make the check payable to DBCC, Inc.
• Write your child’s name in the memo field
• Include a copy of the confirmation email you receive after submitting your application
• Mail the check to Homewood Early Learning Center, 200 Wyman Park Drive, Baltimore, MD 21211

Payment and Submitting Your Application

After making payment, please return to this application and click the Submit button below. Otherwise, we will not receive your application even if you’ve paid the $45 nonrefundable application fee. After submitting the application, you will receive a confirmation email to the address you provided.

I will pay the nonrefundable fee by:*

Using a Credit/Debit Card Using PayPal Mailing a Check

Pay Now button goes here

Please submit your application after making payment.