CURRENT REGION: Saskatoon 306-657-3247

Referral Forms

ECIP has an open referral policy which means that anyone involved in the care of the child can refer to our program. If you're not yet sure if you should refer a child to our program, learn about us here or read more about our Core Services.

Online Referral Form

Child's Information

Child's Name: (First)^*

(Middle)

(Last)^*

Male Female

Child's Date of Birth: ^*

Age at Referral (in months): ^*

Caregiver Information

Parents Names: ^*

Foster Parents: ^* Yes No

Languages Spoken in the Home: ^*

Phone Number: (#1)^*

(#2)

(#3)

Email:

Caregiver Address

Address: ^*

City: ^*

Postal Code: ^*

Referral Details

^* By providing this information, you consent to ECIP Saskatoon contacting you to follow up on this referral.

Download a Printable, Mail-in Form

Click the button below to download/print a mail-in Saskatoon ECIP application form:

Referral Form

Vision

ECIP organizations share the vision that “All families have the capacity to meet the developmental needs of their children within the community of their choice.”

About ECIP

Goals

Enhance childhood development.
Identify family needs and strengths.
Support and empower families.
Provide links to community services.

Core Services

Funding

ECIP is a nonprofit organization funded through the Saskatchewan Ministry of Education, Health Canada and through donations and grants.

Sponsor Us