FOCUS Application Version 2

Licensed Program Name(Required)

As listed on your issued license

DBA (Doing Business As) Name

If different from your Licensed Program Name

Program License Number(Required)

If your program does not have a license number, please enter 999999

Hidden

License Name(Required)

Hidden

EPICS ID(Required)

Hidden

Approval Date(Required)

Hidden

Region(Required)

Do you have a provisional license?(Required)

(This is for new programs only)

Yes

License Expiration Date(Required)

Program / Site Director(Required)

As listed on your issued license

First Name Last Name

Do you have any of the following statuses?

Conditions of Operation (COO)

Sanction

Other

None of the above

Other (please describe)

Other services offered by your program

State-Funded NM PreK

Home Visiting Program

Head Start / Early Head Start

FIT - Early Intervention Services

Other

None of the above

Other (please describe)

Type of Licensed Program(Required)

Current FOCUS Star Level(Required)

Other(Required)

Name of Accrediting Body(Required)

Accreditation Expiration Date(Required)

Total Current Enrollment

Please enter a number greater than or equal to 0.

Number of Classrooms(Required)

Please enter a number greater than or equal to 1.

FOCUS Point of Contact (if different than Director)

First Last

Primary Phone(Required)

Primary Email(Required)

Must be a valid email address that you check regularly

Enter Email Confirm Email

Physical Address(Required)

Street Address Address Line 2 City State ZIP Code

County(Required)

Mailing Address(Required)

Same as physical

Street Address Address Line 2 City State ZIP Code

Days and Hours of Operation(Required)

Day(s)

Opening Time

Closing Time

Preferred Language(Required)

English

Spanish

Other

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Information

Quick Links and Useful Information

FOCUS Application

FOCUS Application Version 2

Information

Quick Links and Useful Information

NM ECECD

Early Childhood Education and Family Services Portal

Moments Together NM

Am I Eligible Application for Child Care Assistance

YES NM Portal Application for Services