Call 620-615-5750 if you have any difficulties completing the pre-application and we will schedule a time to complete your application. The following is an application for pregnant women and families with children birth to age 5 that are interested in FREE Early Childhood services. This includes home-based, child care and preschool options in Reno County Head Start, USD 308 Hutchinson Public Schools and the Early Education Center. All services are based on program requirements first, in order to serve as many children as possible. Parent preference for program and location are taken into account based on availability. Families who do not qualify for Early Head Start services at USD 308 Child Care Center are tuition based and not provided as a free service.
Parent/Guardian
Legal guardian or pregnant woman completing the application.
First Name (Required)
Last Name (Required)
Suffix
Birthday (Required)
Gender
Female
Male
Email Address (Required)
Confirm Email Address
It appears that you have previously submitted an application. If you wish to apply again, please contact us by phone or in person.
Mobile Phone
Opt In for Text Messages
Yes
No
Home Phone
Work Phone
Ext.
It appears that you have previously submitted an application. If you wish to apply again, please contact us by phone or in person.
Race
American Indian or Alaska Native
Asian
Black or African American
Multi-racial/Biracial
Native Hawaiian/Other Pacific Islander
Other
Unspecified
White
Hispanic
Yes
No
Lives with Family
Yes
No
English Proficiency
Little
Moderate
None
Proficient
Other Language
American Sign Language
Burmese
Chinese
English
Kalenjin
Spanish
Spanish
Other Language Proficiency
Little
Moderate
None
Proficient
Highest Grade Completed
Associate's Degree
Bachelor's Degree
College Degree/Training Cert.
College or Advance Training
General Education Diploma
Grade 10
Grade 11
Grade 12
Grade 9 or less
High School Graduate
Master's Degree
Child's Relationship
Biological/Adopted/Step
Foster
Grandchild
Other
Other Relative
Provides Financial Support
Yes
No
Teen Parent
Yes
No
Address
Current Living Address
Is your family experiencing homelessness?
Yes
No
Living Address (Required)
Address Line 2
City (Required)
State (Required)
ZIP (Required)
Click here
to find a provider in your area.
Mailing Address same as Living Address
Mailing Address
Address Line 2
City
State
ZIP
Additional Parent/Guardian
Second Legal Guardian
Is there another parent/guardian in the family?
Yes
No
First Name (Required)
Last Name (Required)
Suffix
Birthday (Required)
Gender
Female
Male
Email Address
Confirm Email Address
It appears that you have previously submitted an application. If you wish to apply again, please contact us by phone or in person.
Mobile Phone
Opt In for Text Messages
Yes
No
Home Phone
Work Phone
Ext.
It appears that you have previously submitted an application. If you wish to apply again, please contact us by phone or in person.
Race
American Indian or Alaska Native
Asian
Black or African American
Multi-racial/Biracial
Native Hawaiian/Other Pacific Islander
Other
Unspecified
White
Hispanic
Yes
No
Lives with Family
Yes
No
English Proficiency
Little
Moderate
None
Proficient
Other Language
American Sign Language
Burmese
Chinese
English
Kalenjin
Spanish
Spanish
Other Language Proficiency
Little
Moderate
None
Proficient
Highest Grade Completed
Associate's Degree
Bachelor's Degree
College Degree/Training Cert.
College or Advance Training
General Education Diploma
Grade 10
Grade 11
Grade 12
Grade 9 or less
High School Graduate
Master's Degree
Child's Relationship
Biological/Adopted/Step
Foster
Grandchild
Other
Other Relative
Provides Financial Support
Yes
No
Teen Parent
Yes
No
Family Information
The following information is required for your application to be considered. During the intake process you will need to provide proof of income or assistance. Emergency Contact information may be used if we have trouble reaching you with the information provided.
Number in Family
Is your family receiving cash benefits or other services under the Temporary Assistance for Needy Families (TANF) program?
Yes
No
Is your family receiving Supplemental Security Income (SSI)?
Yes
No
Is your family receiving services from WIC?
Yes
No
Is your family receiving services under the Supplemental Nutrition Assistance Program (SNAP), formerly referred to as Food Stamps?
Yes
No
Emergency Contacts
Add Emergency Contact
Child (Applicant)
The following information is about the child applying for services.
First Name (Required)
Middle Name
Last Name (Required)
Suffix
Birthday (Required)
Gender
Female
Male
Race
American Indian or Alaska Native
Asian
Black or African American
Multi-racial/Biracial
Native Hawaiian/Other Pacific Islander
Other
Unspecified
White
Hispanic
Yes
No
English Proficiency
Little
Moderate
None
Proficient
Other Language
American Sign Language
Burmese
Chinese
English
Kalenjin
Spanish
Spanish
Other Language Proficiency
Little
Moderate
None
Proficient
Does your child have a disability or do you have any concerns about your child's development?
Yes
No
Is there anything else you want to tell us about your child?
Location Preferences
Which program are you applying for? (Required)
Preschool
Free Preschool for Children Ages 3 to 5
Prenatal/Infant/Toddler
Free Home-Based or Child Care services for Pregnant Women & Children Ages 0 to 3
Location Preference
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1st Location Preference
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2nd Location Preference
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3rd Location Preference
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- Your Address
- Available Locations
Click a location on the map to see more info
Click here
to find a provider in your area.
Additional Applicant
Do you want to apply now for another child in your family?
Add Another Applicant
Siblings
Are there other children in the family?
Add a Sibling
Thank you for your interest in Reno County Head Start Prenatal to 5, USD 308 Preschool or Early Education Center programming. By clicking the button below you certify that the information you have provided is complete and accurate. We will contact you to set up an intake appointment.
Required information is missing, see above.