What are you looking for?
Home
Homepage
About Us
Quick Links
FAQs
New Mexico ECECD
Parents and Families
Early Childhood Education and Family Services Portal
Search for a Program Near You!
In-Home Provider Lookup Tool
NM PreK Map
Licensed Provider Inspection Reports
Am I Eligible for Child Care Assistance
Family and Community Resources Page
Early Childhood Programs
Child Care and Early Education
Home Visiting
Developmental Programs
Toy Lending and Resource Libraries
ECECD Safe Sleep Baby Kit
NewMexicoKids Resource and Referral
Health and Safety Resources
Safe Sleep Resources
Child Development Resources
Early Childhood Programs
Child Care
Family and Nutrition Bureau (CACFP)
Family Engagement
Becoming a Provider
Documents for Becoming a Provider
Registered Home Provider Referral Agreement
Health and Safety Resources
Safe Sleep Resources
Child Development Resources
Shared Services
FOCUS for Child Care
FOCUS for Child Care
FOCUS Documents and Materials
NM Pre K
NM PreK
NM PreK Map
NM PreK Documents and Materials
Developmental Programs
Head Start/Early Head Start
Home Visiting
Information for Families
Early Childhood Professionals
Early Childhood Workforce Development
Statewide Workforce Development Calendar
Training for Early Childhood Service Providers
Statewide Training Calendar
Trainer Registry
NM Professional Development System
Complete Document Library
Shared Services
Professional Support
Professional Resources
Contact Us
Contact Us
News and Announcements
Important Applications and Forms
Outreach Event and Consumer Education Materials Request Form
ECSC Newsletter
Resource and Referral Contact Log
Resource and Referral Contact Log
Full Name
Program Name (if applicable)
Phone
Email
County
(Required)
Bernalillo
Catron
Chaves
Cibola
Colfax
Curry
De Baca
Dona Ana
Eddy
Grant
Guadalupe
Harding
Hidalgo
Lea
Lincoln
Los Alamos
Luna
McKinley
Mora
Otero
Quay
Rio Arriba
Roosevelt
San Juan
Sandoval
San Miguel
Santa Fe
Sierra
Socorro
Taos
Torrance
Union
Valencia
Out of state
Other / Unknown
AIE / CCA
AM I ELIGIBLE TICKET
AIE Ticket ID
(Required)
Date Ticket Received
(Required)
MM slash DD slash YYYY
Email on AIE Ticket
(Required)
Result of Ticket
(Required)
Check as many as apply.
Left message
Sent email with requested info
Spoke with client
T.A. filling out AIE Application
Unable to leave message
Parent wanted to check status of CCA Application
Other
(Required)
How did you hear about us?
(Required)
ECECD Staff or Office / Am I Eligible
Newspaper / Radio / Billboard / TV / Rack Card / Flyer / Media
CYFD Staff or Office (Adoption, SCI Line, Etc.)
ECSC Staff or Office
Outreach Event
Moments Together NM / Alax
Provider / Organization / Agency
Repeat Client
Web / Google Search
Word of Mouth / Family / Friend
Unknown
How did you hear about us - OTHER
(Required)
Contact Type
(Required)
Family
Child Care Provider
Agency, Organization or Community
Type of Referral (choose all applicable)
(Required)
Child Care Assistance/Am I Eligible
Child Care Assistance Application Status
Crisis (DV, Homelessness, Mental Health, Suicide, Other Hotline)
Report Child Abuse / Neglect
Complaint
Data Request (ECECD or Agency)
ECSC Resource / Event Request
Becoming a Provider
Financial Assistance / Grants
Licensing / Food Program
Training / Adult Education
Program Update
Basic Needs ( Food, Shelter, Clothing, Etc. )
Child Care/ Early Education
Early Intervention/FIT/Child Find/SpEd Preschool
Financial Assistance (Other)
Home Visiting / Safe Sleep Baby Kit Request
Hospitals / Health Clinics / Healthcare
K-12 Schools
Legal Aid/Court Services
Other Community Resources
Recreation / Extracurricular Activities
Special Needs (CDD, PRO, EPICS, etc.)
Transportation / Car Seats
Toy Lending and Resource Library
Attempted Referral/Does Not Need Referrals
Other / Unknown
Type of Referral - OTHER/UNKNOWN
(Required)
Provider Packet
Yes
No
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Ticket / Call addressed by
(Required)
Date completed
(Required)
MM slash DD slash YYYY
Notes