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Enrollment Form

Admission Requirements

Candidates for admission are considered without discrimination from age, gender, race, ethnicity, national origin, religion, disabling condition or sexual orientation.

  • All applicants must submit a completed The Education Institute for Early Intervention (EIEI) Inc, application.
  • Applicants must submit an official high school transcript from an accredited high school or an equivalency diploma (GED) score report.
  • Background Checks Requirement:
  • Federal Criminal History Record
  • Pennsylvania State Police Request for Criminal Records Check
  • Department of Human Services Child Abuse History Clearance
  • Tuberculosis (TB) negative test result
  • Externship Fieldwork Informed Consent Form
  • Mandated Reporting Certificate
  • Employer Background Checks Verification Form (PA187)
  • Arrest/Conviction Report and Certification Form (PDE form-6004)


  • Applicants who have previously been convicted of a felony or misdemeanor may not be eligible to work in certain fields upon completion of the diploma. For more specific details and advice, the applicant should discuss his/her situation with the Chief Executive Officer.
  • Two letters of recommendation
  • A personal email address for correspondence
  • Personal interviews are not usually required however; the institute may require an interview with individual applicants for clarification on documents submitted.
  • The student is notified of their admission decision through written correspondence.


EIEI Enrollment Agreement Form