On My Way Pre-K (OMYPK)

On May Way Pre-K (OMWPK) forms

Access On My Way Pre-K forms by following the steps listed below.

Steps to submit your OMWPK forms

  • Download the appropriate forms.
  • Fill out the forms.
  • Email or mail the forms to CCDF staff at Geminus.

Geminus CCDF email: ccdf@geminus.care

8400 Louisiana St., Merrillville, IN 46410

La Porte County: 301 East 8th St., Michigan City, IN 46360

Hace clic para los documentos

Form Description
Name Attestation Download Form SF 57096 required to complete if applicant goes by more than one name.
Application Download Form SF 56895 to complete if applying for the On My Way Pre-Kindergarten Program.
Earnings Information Download Form to complete to verify earned income.
Parent Agreement Download Form to complete agreeing to participate in the requirements of On My Way Pre-K.
Provider InformationDownload Form SF 56897 to be completed by the On My Way Pre-K applicant’s chosen provider.

Contact Form

First Name*
Last Name*
Phone Number*
Email Address*
Street Address:
City: State:
Zip Code*
Sign me up for Newsletter
* Required fields.