Directory

General Information
107 Roanoke Avenue
Riverhead, NY 11901
(631) 369-7345
info@eed-a.org

Programs
Joan Lucarelli
(631) 369-7345 ext.125
services@eed-a.org

Employment
Human Resources
(631) 369-7345

Application Download Center

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 link on the 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 the form in a easily accessible location like your Desktop. Once saved, simply attach to an email and send it 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 Human Resources. 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 link on the 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 the 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 link on the 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 the 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





Application for Services

Application for Services

Download our Universal Family Support Application. Please read instructions on this page regarding submission.


Application for Employment

Application for Employment

Download our Employment/Volunteer Application. Please read instructions on this page regarding submission