Thank you for taking the first step in securing your child's education with Head Start.

To be considered for Early Head Start/Head Start:

• Children 3 to 4 years old from families with low income, according to the Poverty Guidelines published by the Federal government, are eligible for Head Start services.
• Five-year-old children who are not eligible for public Kindergarten.
• Infants and Toddlers up to 3 years old from families with low income, according to the Poverty Guidelines published by the Federal government, are eligible for Early Head Start services.
• Children in foster care, homeless children, and children from families receiving public assistance regardless of income.
• Children Birth to Five years old with disabilities.

Bauer Head Start does not provide transportation services.

Please complete the following information to begin the process and help us determine eligibility. Remember you will need to submit the following documents before we can determine your child's eligibility for Head Star/Early Head Start:

• Income Verification (examples: prior year tax form/W-2s, child support, 4 recent paycheck stubs, letter of employment, TANF, SSI, or SNAP eligibility documentation dated within the last 30 days.)
• Child’s birth certificate
• Proof of residency

These documents may be attached at the end of the online application or brought to the Head Start center. Once we have received your application, we will contact you to schedule an in-person interview. Submitting all your documents early will help speed up the application process. Once your documents are received, your child will be placed on the waitlist.

Please fill in all applicable fields when completing the online application.

Please complete this information about the child’s primary parent or guardian.

The primary adult is:

• The Head Start/Early Head Start child’s mother or father
• Another family member who is a primary caregiver
• Foster parent or authorized caregiver, guardian, or the person with whom the child has been placed with for purposes of adoption pending a final adoption decree.

If the primary adult is not listed on the birth certificate, please be prepared to provide documentation showing guardianship.

Please complete the following information about the child’s primary place of residence.

Homelessness is defined as lacking fixed, regular, and adequate nighttime residence.

This may include:

• sharing housing
• living in motels/hotels
• living in shelters
• living somewhere not designed to be housing

If you are homeless, you will need to provide a written statement regarding your situation.

Click here to find a provider in your area.

Complete this section for the child’s secondary parent or guardian.

A secondary parent or guardian is:

• legally married to the Head Start/Early Head Start child’s primary adult or guardian
• listed on the child’s birth certificate

Please complete for the family members the child resides with.

You will also need to designate emergency contacts. Contacts should be adults that we can contact if we are unable to reach the primary and/or secondary parent/guardians.

Please complete this section for the child planning to attend Head Start/Early Head Start.

If you have additional children you want to submit an application for, you will want to complete the “Additional Applicant” section below.

Please complete the “Siblings” section below if there are other children in the home. This is needed to verify family size.

- Your Address - Available Locations
Click a location on the map to see more info
Click here to find a provider in your area.

Do you want to apply now for another child in your family?

Add Another Applicant

Are there other children in the family?

Add a Sibling

Thank you for your interest in Head Start/Early Head Start.

Please read below and then hit submit when you are finished.

By submitting this document, you are certifying that this information is true. If any part is false, your participation in the Head Start/Early Head Start program may be terminated. All information in the application will be held in strict confidence within the agency and is accessible during normal business hours.

Bauer does not discriminate against any individual or group because of race, sex, religion, age, national origin, color, marital status, handicap, or political beliefs.

Required information is missing, see above.