Thank you for your interest in our Head Start program. Please complete the initial application below. Someone from our staff will contact you to make an appointment to come in and finish the paperwork. To check for income eligibility, please check: https://aspe.hhs.gov/poverty-guidelines
Parent/Guardian
First Name (Required)
Middle Name
Last Name (Required)
Suffix
Birthday (Required)
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.
Child's Relationship
Biological/Adopted/Step
Foster
Grandchild
Other
Other Relative
Custody
Yes
No
Lives with Family
Yes
No
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.
Additional Parent/Guardian
Is there another parent/guardian in the family?
Yes
No
First Name (Required)
Middle Name
Last Name (Required)
Suffix
Birthday (Required)
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.
Child's Relationship
Biological/Adopted/Step
Foster
Grandchild
Other
Other Relative
Custody
Yes
No
Lives with Family
Yes
No
Child (Applicant)
First Name (Required)
Middle Name
Last Name (Required)
Suffix
Nickname
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
Akan
Albanian
Aleut
American Sign Language
Arabic
Armenian
Ashanti
Bangla
Bengali
Cebuano
Chinese
Creole
Creole-Haitian
English
Ewe
Fante
French
Ga
Gujarati
Hausa
Hindi
Igbo
Japanese
Konkani
Lao
Malayalam
Mandarin
Nepali
Odia (f/k/a Oriya)
Pashto
Patois
Patwa
Polish
Portuguese
Punjabi
Sign Language
Somali
Spanish
Swahili
Tagalog
Tamil
Tchamba
Telugu
Tem
Tulu
Turkish
Twi
Urdu
Vietnamese
Wolof
Yoruba
Primary Health Coverage
Children's Health Insurance Program (CHIP)
Combined Medicaid/CHIP
Medicaid
No Insurance
Other
Private Health Insurance
State-Only Funded Insurance
Doctor/Medical Home
95210 Community Health Planner
ABC Pediatrics
Ahmed, Sheikh, M.D.
Always Best Care Senior Services
Amma Kwakye
Ariel Patrick
Asylum Hill Health
Avon Pediatric
bear pond family medicine
Blue Hills Family Medicine
Bogan, Fredrick, M.D.
Bolton Family Medicine
Brierley, M.D.
Brodie, Gordon, M.D.
burgdorff pediatrics
Bush, Frank J., M.D.
Cadman, K.,M.D.
Carlos Ortiz
CCMC Audiology Dept
CCMC Department of Pulmonology
CCMC ENT
CCMC Opthalamology
CCMC Primary Care Center
CCMC Primary Care East Hartford
CCMC, Charter Oak HEALTH CTR AT
Central Pediatrics
Charter Oak Health Center
Children's Eye Care, p.c.
Children's Medical Group
Childrens Medical Group
Childrens Medical SVS
CliniSanitas
Cluno, Olga, M.D.
Collins Medical
Community Health Center, Inc
Community Health Clinic
Community Health Services
Complete Family Eye Care
Craig, Steven, M.D.
Crystal Marquez
Ct Children' Primary Care
CT Childrens Medical Center
CT Valley Pediatrics
Czeckal, Dr.
Dianne Powers
dr Carla Howard
dr Detweiler
dr Jahidul Abedin
Dr Kumar
Dr Mark Lew
Dr Paula Lucuara
Dr William Sheih
Dr. Bakalini
Dr. Charles Wang
Dr. Dhingra
Dr. Dolores
Dr. Huddleston
Dr. Iadinsky
Dr. Keri Edelson
Dr. Khera
Dr. Lampugnale
Dr. Lester Schwartz
Dr. Mark Schomer
Dr. Natalie Komaiszko
Dr. Remi Matthews
Dr. Robert Adamenko
Dr.Marry Guerrera
Duffy, Allison MD
East Hartford Community Healthca
East Hartford Medical Center
East Lyme Pediatrics
Eccles, Terry
ECHN Medical Group
Ellen Marmer MD
Ellington Pediatrics
Emmanuel, Emelle
Enfield Pediatrics
Evelyne Sousa
Family Medicine
Family Practices
Fantl, Eugene, M.D
Fichman Eye Center
First Choice
First Choice
First Choice Health Center
Fote, John, MD
Freedman, E. M.D.
Freilich, Cecile, M.D.
Friedman, Matthew, M.D.
Fromson, Dr., M.D.
Fromson, M.D.
Ganeles, M.D.
George, Anna MD
Ghabriel, Dr.
Gildersleeve, Kristin, Dr.
Glastonbury Pediatrics
Grove Hill Medical Center
Harrison-Atlas,M.D.
Healthwise
Healthwise Medical Assoc., LLP
Hebron Family Physicians
Henry, Dr.
Hong, Dr.
Ilona Shternfeld, MD, opthamol.
Ishrat Quadri, MD
Jeffers, B. MD - New York
Jerome Lyman
Kanter, Norine
Kelliger, Lauren, M.D.
Kenneth Inchalik
Khera, M.D.
Kids Station Pediatric
Kim, M.D.
Krenicky, Peter
Lahman, Jerome, MD
lampugnale
Latasha Thomas
Laurel Eye works
Lifespring Pediatrics
Litwin, Kathryn
Magda, Jessica
Manchester Community Health
Manchester Denistry
Manchester Family Medicine
Manchester Memorial Hospital
Manchester Pedi & Adolescents
Manchester Pediatric Assoc
Manchester Physician
Mansfield Pediatrics
Mark Belsky
Marlborough Family Practice
Martin, M.D.
Mary E. Eslick MD
Mary Eslick MD
McGregor, Kristin, M.D.
medcare express
Melckete,Swatranthra
Melekote, M.D.
Merced, M.D.
Michelle Reichle, OD
Middlesex Family Practice
Middlesex Pediatrics
Minh Han, MD.
Morningside Pediatrics
Natalie Komasizko
Newington Pediatrics
Norine Kanter
O'Brian, Grael
Palazzolo, M.D.
Panchal, H. MD
Park, M.D.
Parnes, M.D.
Pasadena Pediatrics-Florida
Patel, Dipak, M.D.
Patel, M.D.
Patel, N., M.D.
Pediatric Health Assoc. Hartford
Pediatric Partners
Pediatrics & Adolescence
Pedicorp PC
Pedicorp, P.C. Dr.-Asha Manaktal
Peterson, Mark
Philips, Barbara, M.D.
Pioneer Valley Pediatrics
Pool, M.D.
Post, Leah, MD
Poulin, Serge
Pribula, James, M.D.
ProHealth Manchester
Prohealth Physicians
Prohealth Physicians
Prohealth Physicians
Prohealth Physicians
Prohealth Physicians
Quadri, Ishrat M.D.
Ram, Amitabh, MD
Ram, M.D.
Ramanan, Chitra, MD
Ramirez, Marc M.D.
Ratchford, MD
Raymond Kurker
Remanan, M.D.
Remi Mathews
Resulpow, M.D.
Rifkin, Lawrence, M.D.
Rockville Family Physicians
Rocky Hill Pediatrics
Rodriguez, Albert, M.D.
Sachetti, M.D.
Saint Francis PPCC
Sandbox Learning Healthy Skills
Sanitas Medical Center
Sara Viteri
Scherzer, Larry, M.D.
Schuck, M.D.
Schwartz, M.D.
Senechal, John H., M.D.
Seven Corners Pediatrics
Shapiro, M.D.
Shea, Richard M.D.
Shen
Shternfeld, Ilona -opthamologist
Smart Start Pediatraics
Smith-Slatos, Candra, M.D.
Sobelman Pediatrics
Sobhy Ghabrial, M.D.
Solinski Eye Care
Somerset Pediatrics
South Windsor Pediatrics
Southern Indiana Pediatrics
Sroka, Theresa
St. Francis Burgdorf UCONN Pedia
Starling Pediatrics
Sthernfeld, Ilona
Surgical & Medical Ophthalmology
Sutay/Stewart
The Pediatric Care Center
Tolland County Pediatrics
Tuttle, Mark, M.D.
Uconn Burgdorf
UConn HP East Hartford
USDA Picky eater
Vara, Maria/Opt
Venkatesh, M.D.
Verma-Johri, Geetika, M.D.
Vernon Pediatrics
Villa, Anne Marie, MD
Walker, John H., M.D.
Warren Pediatrics LLC
warren, M
West Hartford Pediatric
Willion,M.D. Children's Med. Gr.
Windsor Family Medicine
Yale Pediatric
Dental Coverage
Children's Health Insurance Program (CHIP)
Combined Medicaid/CHIP
Medicaid
No Insurance
Other
Private Health Insurance
State-Only Funded Insurance
Dentist/Dental Home
Advantage Dental
Ahmed, Bilel, Small Smiles
Albert, Ronald DMD
Albert, Ronald J., D.M.D.
Allan Kwon, D.M.D.
Amazing Smiles
Amazon Dental
American Dental Office LLC
Anne Nghiem
Aspen Dental
Associated Dental Care
Baer, Jeniffer, DMD
Baron, Barnet DMD
Bloom, Justin DMD
Bloomfield Family and Cosmetic
Bloomfield Pediatric Dentistry
Brett Clark, DMD
Bright Dental
Buckland Hills Dental
Burgdorf Dental Clinic
Calvalieri Dental
Carroll, John
Carta, Tris
CCMC Department of Dentistry
Charter Oak Health Center CCMC
Charter Oak- Dr. Salas
Children's Dentistry of Hartford
Chong, Dr.
CHS Dental
Cipes Pediatric Dentistry
Columbia Dental
Columbia Dental
Comfort Dental
Community Health Care
Community Health Center
Community Health Services
Connecticut Children Dental
Connecticut East Dental Center
Connecticut Family Dentistry
Crockett, Healther, DDS
CT East Dental Center LLC
CT Pediatric
Dental and Vision Associates
Dental Health Associates pc
Dental referral list
Denthaven Dental
Dentist
Deros, Elias, D.M.D.
Dr Chu
Dr Dental
Dr Dental Vernon
Dr Kadeem Bartly
Dr Kyle Glass
Dr Lora
dr Patricia Pina
Dr Salas
Dr, Pradeepa
Dr. Ahluwalia
Dr. Allan Kwon
Dr. Colandrea
Dr. Dental
Dr. Ellen Dalla
Dr. Forum
Dr. Gomzalez
Dr. Himabindu Illindala
Dr. Kapoor
Dr. Kwon
Dr. L. Colin Ress
Dr. Loay Hammad DDS
Dr. Sharma
Dr. Suet Wu, DDS
Dr. Whidden
Dr. Young Liu
Drarajah, Sathya,Mahen, D.M.D.
East Center Family Dentistry
East Hartford Children's Dental
East Hartford Community Healthca
Enfield Pediatric Denistry
Erica Pitera
Family Smile Center
Farah Khan
Farah Khan, DMD
First Choice
First Choice Health Center
First Line Dental
Fish, Robert H., D.M.D.
Freedman, Arthur, DMD
Galvin & Round Family Dentistry
Gilkes, Lisa, D.M.D.
glastonbury dental associates
Goldman, Joshua DDS
Great Expressions
Great Expressions Dental Centers
Greene, D.M.D.
Hall, Neville, D.M.D.
Han, Jihun DDS
Hartford Dental Group
Healthy Smiles Vernon
Hebron Dental
Himabindu Illindala DDS
Hwang, Michael
Hyun Lee
iSmile Health Center
Jewish Renaissance Medical-NJ
Katz, Robert, DMD
Kaushik, Tulika
Khan, Barbar
Kids Dental Care
Kids Dental Care
Koehler, Glenn
Kool Smiles
Kool Smiles
Kool Smiles
Kousournas, Steven K.
Kowalski, Cathleen, DMD
Laro, Kenneth D.M.D
Lawrence, Raymond DMD
Levy, Jodi
Lincoln College Dental Hygiene
Lisa Jilkes
Litchfield Hills Prof. Center
Little Submarine Dental
Mailloux,Robert, D.M.D.
Manchester Community Dental
Manchester Denistry
Manchester Dental Group
Manchester Family Dental
Manchester Smiles
Mansfield Pediatric Dentistry
Marcelo Maldonado, DMD
Margherita Demoya, DDS
Mark Belsky
Mathews Family Dental Center
Miner, Laura
Monica Cipes DMD
N.E. Dental Center
Naio, P
Nguyen, James DMD
Northwest Dental Group
O'Dwyer Family Dentistry
Ochola, David, D.M.D.
Pallock, D.M.D.
Pappus Family Dentistry
Park Street Family Dental
Patel, Milan
Patel, Vipul, DDS - *Buck. Hills
Patricia M Pina DDS
Pediatric Dental Associates
Peter Kazt, West Hartford
Pfaffmann, W.S,DMD/Small Smiles
Podrasky, Frank, D.M.D
Pollack, Ginger DMD
Pradeepa, Dr
Prestige Dental Network
Qun Zeng, D.M.D.
Rosenberg
Rubin, Mark
Salazar, Juan C. DDS
Sarah Krejewski, RDH
Shoflick, Stuart D.M.D
Signature Smiles
Small Smiles Dental Center
Smile by Design
Smiles Dental
Smiles for the Future
Smiles in Bloom
Smiles of Hartford
Sorito, MIchael, DMD
St. Francis
Sunshine Dental
Sutton Dental
Swanson, DMD
Sweet Tooth Pediatric Dentistry
Tooth Time Dentistry
UCF
UCONN Health
UCONN-Burgdorf
Vernon Dental Associates
wang, dentist
West Hartford Family Dentistry
White Dental
Wing
Yale
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)
Head Start 2022-2023
1st Location Preference
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2nd Location Preference
<p></p>
- 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
Documentation regarding income, proof of residency, a copy of the long-form birth certificate, and a current physical must be provided. Please go to our website for a list of the required items: http://publicschools.manchesterct.gov/uploaded/Preschool_Center/Files/Items_to_bring_to_registration_16-17.pdf
Required information is missing, see above.