Apply Online

Welcome to the SNHS Child Development Program's pre-application. Providing services for children and families through Early Head Start, Head Start, and Preschool age childcare programming. If you have ever had a child enrolled with us your information may already be in our system. Please stop here and call 603-668-8010 x6098 to complete the process.

Please answer questions about education, employment, and income based on the date of the application.

First Name (Required)

Last Name (Required)

Birthday (Required)

Gender

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

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

Hispanic

English Proficiency

Other Language

Other Language Proficiency

Child's Relationship

Custody

Lives with Family

Is your family experiencing homelessness?

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

Only complete this section if the secondary adult is living in the home, being supported by the same income and is related by blood, marriage, or adoption.

Is there another parent/guardian in the family?

First Name (Required)

Last Name (Required)

Birthday (Required)

Gender

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

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

Hispanic

English Proficiency

Other Language

Other Language Proficiency

Child's Relationship

Custody

Lives with Family

Are there other adults in the household?

Add Another Adult

Number of Parents/Guardians

Relationship to Participant(s)

Primary Language at Home

Number in Family

Gross Annual Income

Please complete this section for all children who applying to participate in the program.

First Name (Required)

Last Name (Required)

Birthday (Required)

Gender

Race

Hispanic

Does your child have a disability or do you have any concerns about your child's development?

Is there anything else you want to tell us about your child?

Which program are you applying for? (Required)

Location Preference

1st Location Preference

2nd Location Preference

3rd Location Preference

- 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 SNHS Child Development Program. By clicking the button below, you certify that the information you have provided is complete and accurate. A staff member will contact you to set up an intake appointment. Income and age verification will need to be provided to complete the application. Please make sure you have provided a phone number as well as an email address for timely follow up from the Child Development Program.

Required information is missing, see above.

Parent/Guardian

Address

Additional Parent/Guardian

Other Adults

Family Information

Child (Applicant)

Location Preferences

Additional Applicant

Siblings