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Email Address
www.eed-a.org
Application Download Center
Your Challenge, Our Commitment...
Dedication to quality care for those with developmental disabilities on Eastern Long Island.
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Universal Family
Support Applications
Joan Lucarelli
(631) 369-7345 ext.125
Fax: (631) 369-7346
Employment/
Volunteer
Applications
Cynthia Miles
(631) 369-7345 ext.126
Fax: (631) 369-1684
Welcome to our application download center. On this page you will find instructions and links to our Universal Family Support Application and Employment/Volunteer Application. Please follow the instructions below for submitting completed applications.
Note: You will need a current version of Adobe Acrobat Reader in order to view, complete and save these applications. All applications are in PDF format. To download Adobe Acrobat Reader please CLICK HERE.
Instructions for Completing and Submitting Applications:
Option #1 - Submit By Email
Please choose the application you wish to complete by clicking on the corresponding button on right. Completely fill in the form. Save a copy of the completed form to your computer by selecting "FILE" then "SAVE AS" option on the top menu bar. Remember to save form in a easily accessible location like your Desktop. Once saved, simply attach to an email and send to us. Use the contact information to the left to determine what email address to use. Universal Family Support Applications will be emailed to Joan Lucarelli and Employment/Volunteer Applications go to Cynthia Miles. Once submitted we will review your application and contact you for any additional information and/or advise you of our decision.
Option #2 - Submit By Fax
Please choose the application you wish to complete by clicking on the corresponding button on right. Completely fill in the form. Save a copy of the completed form to your computer by selecting "FILE" then "SAVE AS" option on the top menu bar. Remember to save form in a easily accessible location like your Desktop. Once saved, print a copy using your printer. Then fax the completed application to the appropriate person using the contact information on the left.
Option #3 - Submit By Standard Mail
Please choose the application you wish to complete by clicking on the corresponding button on right. Completely fill in the form. Save a copy of the completed form to your computer by selecting "FILE" then "SAVE AS" option on the top menu bar. Remember to save form in a easily accessible location like your Desktop. Once saved, print a copy using your printer. Mail completed form to: EEDA, 107 Roanoke Avenue, Riverhead, NY 11901
Click button below to download our Universal Family Support Application. Please read instructions on this page regarding submission.
Click button below to download our Employment/Volunteer Application. Please read instructions on this page regarding submission.
