The following is an Interest form for Prime Time Head Start/ Early Head Start. Please have documents ready to upload in the required fields to successfully submit your interest. Further paperwork will be required, to be considered for enrollment.
(Biological, Married, Adoption, Foster and /or Legal Assignment)
Click here to find a provider in your area.
Only complete this section if the Secondary Adult is currently living in the home, being supported by the same income and related by blood, marriage, or adoption.
Number in household should include primary and secondary adults (if applicable) living in the home, and should include the applicant and additional children being supported by the same income, and related by blood, marriage, or adoption.
- 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
You will receive an email confirmation once the application is submitted. We will contact you within 14 days to schedule an appointment to complete the registration process.
Required information is missing, see above.