The 2024 - 2025 Application is now open. You can also apply for next year's 2025 -2026 Head Start program. If you applied, your child was enrolled, or on the waitlist during the 2024 - 2025 school year, you DO NOT need to re-apply. Only first-time applicants with children not enrolled and/or not on the waitlist from 2024 - 2025 should apply. You will receive a notification of your child's application status by July 2025. PLEASE DO NOT DUPLICATE AN APPLICATION AS THIS WILL DELAY PROCESSING FOR THIS SCHOOL YEAR. Email any questions to headstart@brla.gov. Thank you!
Parent/Guardian
Please answer questions about education, employment and income based on the date of the application. For teen parents, only enter 'Yes' if 19 years or younger on the date of application.
First Name (Required)
Middle Name
Last Name (Required)
Suffix
Nickname
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
Arabic
Chinese
English
Hmong
Nepali
Other
Punjabi
Spanish
Spanish
Urdu
Vietnamese
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
Employment Status
Full-time (35 hours/week or more)
Part-time (Under 35 hours/week)
Retired or Disabled
Training or School
Unemployed
Child's Relationship
Biological/Adopted/Step
Foster
Grandchild
Other
Other Relative
Custody
Yes
No
Provides Financial Support
Yes
No
Teen Parent
Yes
No
If Teen Parent, Subsidized?
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.
Mailing Address same as Living Address
Mailing Address
Address Line 2
City
State
ZIP
Additional Parent/Guardian
Only complete this section if the Secondary Adult is currently living in the home, being supported by the same income and related blood marriage or adoption.
Is there another parent/guardian in the family?
Yes
No
First Name (Required)
Middle Name
Last Name (Required)
Suffix
Nickname
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
Arabic
Chinese
English
Hmong
Nepali
Other
Punjabi
Spanish
Spanish
Urdu
Vietnamese
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
Employment Status
Full-time (35 hours/week or more)
Part-time (Under 35 hours/week)
Retired or Disabled
Training or School
Unemployed
Child's Relationship
Biological/Adopted/Step
Foster
Grandchild
Other
Other Relative
Custody
Yes
No
Provides Financial Support
Yes
No
Teen Parent
Yes
No
If Teen Parent, Subsidized?
Yes
No
Family Information
For TANF, SSI, WIC or SNAP only answer 'Yes' if you are currently receiving those benefits. Proof of Income and copies of awards letters will be requested.
Number of Parents/Guardians
One Parent Family
Two Parent Family
Relationship to Participant(s)
Foster parent(s) not including relatives
Grandparent(s)
Other
Parent(s) (e.g. biological, adoptive, stepparents)
Relative(s) other than grandparents
Primary Language at Home
American Sign Language
Arabic
Chinese
English
Hmong
Nepali
Other
Punjabi
Spanish
Spanish
Urdu
Vietnamese
Number in Household
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
WIC ID (if applicable)
Is your family receiving services under the Supplemental Nutrition Assistance Program (SNAP), formerly referred to as Food Stamps?
Yes
No
Is at least one parent/guardian an active duty member of the United States military?
Yes
No
Is at least one parent/guardian a veteran of the United States military?
Yes
No
Emergency Contacts
Add Emergency Contact
Child (Applicant)
If your child has an IEP or IFSP in place, please place the diagnosis along with services begin and end dates in the notes section below.
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 Proficiency
Little
Moderate
None
Proficient
Primary Health Coverage
Children's Health Insurance Program (CHIP)
Combined Medicaid/CHIP
Medicaid
No Insurance
Other
Private Health Insurance
State-Only Funded Insurance
Other Coverage
Children's Health Insurance Program (CHIP)
Combined Medicaid/CHIP
Medicaid
No Insurance
Other
Private Health Insurance
State-Only Funded Insurance
Insurance Number
Medicaid Eligibility
Not Eligible
On Medicaid
Potentially Eligible
Medicaid Number
Doctor/Medical Home
Acadian Family Denistry
ACT Kidmed
Aetna
Aimee Ferrell
Aimee Parell
Alexis Motley
Alice Powell
Alicia Kober
Alicia Kober
Alisa Bell
All Hours Pediatrics
Amanda Crawford
Amanda Meyer
Amanda Pearson
Amanda Talbot
Amanda Talbot
Amar H. Dave, MD FAAP
Amber Barksdale
Amber Denham
Amerigroup
AmeriHealth Louisiana
Andrew C. Black, M. D.
Andrew Collins, MD.
Andriette Fitch
Angela (Ellzey) Shaw
Anointed Family Medicine
Anthony Nguyen MD
Anu Vellanki
Arbor Family Health
Ascension Children's Dental
Ascension Public Health Unit
Ashley Lucas
Ashley's Optical
Ashton Holloway
Associates of Denham Springs
B. Jasper
BADI ASAHI M.D.
Ballard Mann
Baton Rouge Bluebonnet Clinic
Baton Rouge Clinic
Baton Rouge Eye Physicians
Baton Rouge General Physicians
Baton Rouge High Grove Pediatric
Baton Rouge Pediatric Clinic
Baton Rouge Primary Care
Bayou Health
Bichngoc Pham, O.D.
Billy Hall, DDS
Blue Cross Blue Shield
Bock, Brooke MD
Bowman, Jonathan Dr.
Brad Gurrausso
Bradford Smith
Bradley Black
Brannon Perilloux
Brett Carlin, OD
Brett Hutchinson
BRG Family Health Center
Brian Dispanese
Brian Harrell
Brian Leblanc
Broadmoor Medical Clinic
Brooke Dunaway,MA
Bryan Garrey Sibley
Brynn Leroux
Byron Jasper
CareSouth
Caring Clinic of louisiana
Carmen Johnson
Casey Williams
Cecilia Duchamp
Chad A. Lacour
Charles Geno
Charmaine Venters,MD
Charmaine Ventures
Chassidy Baloney
chesney Speech Therapy
Children Hospital of Baton Rouge
Children Hospital Pediatric Caro
Children International
Children's I nternational
Children's International North
Children's International Pediatr
Chirine Adnan Abou Turk
Concordia Parish Health Unit
Corey Herbert
Courtney A. Becnel
Courtney Becnel
Courtney James
Courtney Sanford
Crescent City Pediatrics
Cury Boudreaux/Eye Clinic
Daniel Clinic
Danielle Davis
Daughter of Charity
David G. Hill
Dawn Melancon
Dawn Vick
Dawn Zitman
DCS Family Health Clinic
Debra Newton
Diane Kirby
Diatinctive Smile
Dionne Matthews
Dr Amber Nguyen
Dr Carl Stevens
Dr Devon Relle
DR Martin
Dr. Geesh
Dr. Henry Haley
Dr. Jacob M. Woods
Dr. Pamela Williams
Dr. A. Dave
Dr. Amar H. Dave
Dr. Amber
Dr. April Deham
Dr. Arunabathi V Sangisetty
Dr. B. Dyess
Dr. Blacher
Dr. Bradley Black
Dr. Brian Despinasse
Dr. C. Venters
Dr. Candice Collins
Dr. Carola Okogbaa
Dr. Charles Daniels
Dr. Collin Sutton
Dr. Daisy
Dr. David A. Timm, MD
Dr. David Tim
Dr. Ellis Landreneau
Dr. Emilio Russo
Dr. Eric Griener
Dr. G. Peters
Dr. Hedgemon
Dr. HongVan Le
Dr. Kelly Debrolia
Dr. Kirby
Dr. Lambert
Dr. Lesily Irby
Dr. Lynn Cayley
Dr. M. P. Jayasullesn
Dr. Michael B. Jelks OD
Dr. Montgomery
Dr. Murli Rao
Dr. Myriam Ortiz-de Jesus
Dr. Patrick J. Tateon
Dr. Robert
Dr. Robert Feldman
Dr. Samuel Brown
Dr. Seuhary
Dr. Shannon Bogan MD
Dr. Tiffany Rober
Dr. Tony Palazzo
Dr. Ventures
DR. W Dart
Dr. Wendy Waguespack and Assoc.
Drake Bellanger
Dynamic Therapy
Dynamic Therapy
E. Feliciana Primary Care
East Baton Rouge Health
East Baton Rouge Health Unit
East Baton Rouge Pupil Appraisal
Easwar Ramadoss
EBR Sheriff's Office Health Plan
Elenita Samtos-Mata
Elise Scallan
Ellis Landreneau
EMC Eye Medical Center
EMERGE
Emily Grezaffi
EMLA Care Family Clinic
Erica Durlacher O.D.
Family Health Center
Family Practice
Fast Pace Health Urgent Care
Frank Fazio
Gardy Valentine
Gertrude Anyanwoke
gesn
Glenn
Goodwood Pediatrics
Gregory J. Gelpi
Grove Ophthalmology
Gunda Sharad
H Jay Collinworth MD
Haley Carvso
Head Start
Health Network Of La.
Health Scope
Healthcare Connections
Healthy Blue
Healthy Louisiana
Healthy Steps Pediatrics
Helen Hedgemon
Hina Patel, MD
Horace Collingsworth
I. Cohen
Internal Medicine Pediatric Grou
Irwin Cohen
J. Castillo
Jack L. Breaux
Jacob LeBas
Jacqueline Williams
Jacqueline Williams
Jacqueline Williams
Jamel Martin
Jamel Martin
James C. Keller, Jr., MD
James Campbell
Janice Hudson
Jason Varan
Jay Hogg
Jennifer Guidroz
Jennifer Hogan
Jennifer Maraia
Jeremy Adel
Jeremy Courville
Jerry Williams
Jewel Newman
Joh P Ramitez
John Hall Jr
John McPherson
John Prestigiacomo
Joseph Thomas
Joseph Thomas
Jule Griebrok-Assercq
K. Moody
Karen Simpson
Karson Dunn
Kathryn Elkins
Kathy Powell
Kathyerine Elkins
Kathyrn Spencer
Ked Med South
Keewanna B Womack
Kelli Bovard
Kendra Michael
Kent Rhodes
Kent Rhodes
Kid Med East
Kid Med North
Kid Med South
Kim-Anh Le, O. D.
Kourtni Atkins-Luster
Kredenna L. Beverly
Kristine Grimes
Kristy Dubble
La Belle Aire Head Start
LA Center For Eyes
LA Healthcare Connections
La. Ear, Nose, Throat, & Sinus
Lacey Clark
Lake Pediatrics At O'neal
Lake Pediatrics Goodwood
Lake Primary Care-South
Lake Surgery Center
LaKesha Collins
Lakisha Lee
Lamala
Lane Pediatrics
Latoya Leonard-Hughes
Legacy Community Health
Leslie Bostick
Leslie Bostick
Leslie Irby
Lindsay M. Young A.U.D., CCC-A
LIONS CLUB
Lisa Khanh Le
Lois H. Gesn
Louisiana Dental Center
Louisiana Ear, Nose, Throat & Si
Louisiana Healthcare Connections
Louisiana Internal Medicine Pedi
Lousiana Lions Eye Foundation
LSU Speech, Language & Hearing
LSU Mid City Clinic
LSU Pediatric Clinic Shrevport
Luan Minh Pham
Luan Pham
Lynette David
Lynn C. Murphy
M P Jayasankaran
M. Cummings, O. D.
M. Dawn
M. Sharp
Mansoor Pediatrics
Mark Mouton
Mark Wagganspach
Martha Banks
mary jones
Mary Mazza-Ricketts
Mary Saleme
McMains Developmental Center
Megan Blanchard
Megan Hinson
Melissa Holland
Melissa McCormick
Micah Callais
Michael Bodin
Michael Dougherty
Michael Quinn
Michele Patel
Michelle Breaux
Michelle Flechas
Midcity Pediatric Therapy
Mikki Bouquet
Mindy Calandro
Mitchell Pediatrics
Mohammad Badi Asbahi
Mokiso Murrill
Morgan City Pediatric Clinic
Morgan L. William
Mukkasnnairu Jayasankaran
Myriam Ortiz
Narkita Roscoe
Nort Point Family Health
North Oaks Pediatric Clinic
Northoak Ped. Clinic
O'Donovan Lake Pediatrics
Ochner Health Center
Ochsner Health Center
Ochsner Pediatric & Adolescent
OLOL Pediatrics
OLOL Physicians - Dutchtown
Open Health Mobile Unit
Open Healthcare
Oscher Health Care Clinic
Oschner Medical/The Grove
Our Laby Of Lake Pysician Group
Our Lady of Physician Group
Our Lady Phycian Zachary Med
Our Lake Pedatrics
Our LOL Children Speech-Language
Pamela S. Shriver
Pamela Woods
Pankajam Mahadevan, MD
Patrick Bergin
Patrticia Schneider
Paul Giorlando
Pediatric Academic Clinic
Pediatric Associates
Pediatric Clinic-St. Fran.
Pediatric Clinic-Westbank
Pediatric Medical Center
Pediatric on Goodwood
Pediatrics at Delmont
Pediatrics at Juban
Phuong T. Dinh
Pratik Patel MD
Premier Eyecare & Optical
Premier Pediatrics
Primary Care Pediatrics
Pupil Appraisal services
Quang Vu
Racheal Sims
Rachel Hathan
Rachel Stephenson
Raynando Bank
Rebecca Bokun
RED RIVER MEDICAL NUTRITION
Red Stick Pediatrics
Reddy Family Medical Clinic
RFM/Family Practice
RKM Primary Care
Robert Feldman
Rodney Hatfield
Rodser Elofson
Ronald Andrews
Ronald Bombet
Rosalyn Slaughter
Ryan Boone, MD
S Dargan
S. Sutton
Salvation Army
Sandra Franz
Sandy Reed, MD
Sarah Vitenas
SCHOOL NURSE
Shalimar Small
Shaundelette Nelson
Shelley Martin
Shirley Wade
Shriver, Pam Dr.
South Louisiana Primary Care
Southeast Community Health
Southeast Pediatrics
Southern University A&M College
Southern University Speech-Lang
Southwest Louisiana Children Cli
St. Elizabeth Physicians
St. Francis Pediatric Clinic
St. Gabriel Health Clinic
St. Jude Affiliate Clinic
Stacie Bland
Stacy Blanch
Stacy Jones
Stephanie Henson, M.D.
Stephanie Kelleher
Steven Ripple
SU Dept Of Speech & Audiology
Sunshine Children Clinic
Surrey Street Community Health
Susan Jong
Sylvia Sutton
T'Lane Folse, M.D.
Taira Woodroffe
Texas Children Pediatrics Height
The Baton Rouge Clinic
The Care Clinic, LLC
The Pediatric Clinic of St. Mary
The Pediatric Eye Care Center
Thiravat
Thomas Curry M. D.
Tierney Rowe, APRN, OPNP-PC
Tiffany Chevalier
Tiffany Roberts
TKZ Pediatrics
Total Family Healthcare
Traci Woodard
Tracy Gallagher NP
Tracy Lamelle
tran
Truc Dihh, MD
United Health Care
Urgent Care
Uyen Caro
Vasanthi Vinayagam
Ventures
Veronica Thomas
Victoria Seals,RN
Vincent Shaw, Jr
Walmart Vision Center
Wayne Gravois
William Owens
Williams Eye Center
Williamson Allemond Regional
Wilson Wang
Woman Hospital Audiology Dept.
Woman's Hospital Audiology Dept.
Y. Duc Nguyen, MD
Zachary Pediatrics
Dental Coverage
Children's Health Insurance Program (CHIP)
Combined Medicaid/CHIP
Medicaid
No Insurance
Other
Private Health Insurance
State-Only Funded Insurance
Dental Coverage Number
Dentist/Dental Home
Acadian Family Denistry
Acadian Family Dentistry
Affordable Dental Care
AIPD
All Smiles Dental
Angela Soileau
Anh Tuan Nguyen, MD
APD
Ascension Children Dental
Associate Pediatric
Associates In Pediatric Dentistr
Audubon Family Dentistry
Baton Rouge Dental
Baton Rouge Family Dentistry
Bayfront Dental PC
Bayou Children Dental Center
Bencaz Family Dentistry
Beverly Taylor
Biggio Dental Care
Billy Hall
Billy Hall, DDS
Bippo's Place for Smiles
Bluebonnet Dental Care
Bradley Comeaux
Brett Rabel
Brett Ragusa
Broadway Dental
Brook Hoods
Brooke Wood
Brookshire Dental
Brown Dental
Brush Dental
CareSouth
Carol J. Galliano
Caroline Rolfsen
Casey Williams
Central Lousiana Dental
Chad A. Lacour
Charles Daniel
Children's Dental
Children's Dental Care
College Family Denistry
Courtney James
Danielle Davis
Danny S. Wood
Danyell Batiste
David Carter
Davis Walton, DDS
Diatinctive Smile
Distinctive Smiles
Dr. Adams
Dr. Ariel M. Brown, DDS
Dr. Bethany Tile DDS
Dr. Broussard
Dr. Gambil
Dr. Jamie Harold
Dr. Lee Berthelot
Dr. Leonard Lewis/ Lewis dental
Dr. Owens
Dr. Padgett
Dr. Padqett
Dr. Rebal
Dr. Tamma Gray
Dr. Taylor
Dr. Thomas Wingo Jr.
Dream Pediatrics Dentistry
Elise Norris
Elizabeth Clay
Ellyn O'Neal
Elsie Daniels
Exceptional Dental of Highland
Fallin Family Denistry
Family Dentistry
Frances Wiggins
Fumi Abosede
GBR Dental Clinic
Goodwood General Dentistry
Grand Family Dentistry
Greenwellspring Family Dentistry
Greg Phillips
Healthy Smiles
Herwood Dental Clinic
Horace Collingsworth
Hugh McKnight
Iverstine Jim DDS
Jaclyn Duboue
Jane Whang
Jared Harris
Jason Hutto
Jeff Ellard
Jin H Kim
John Barksdale, DDS
John Tran
Johnnie Hunt
Jones Creek Denistry
Jones Creek Family Dentistry
Just Kids Dental
Kasan Stevens
Kathleen Corbin
Kenneth Romain
Kid Med East
Kid Med North
Kid's Dentist
Kid's Dentist
Kidder Dental
Kids Dental Zone
Kids First Dental
Kids Smile
Kimberly Bessix DDS
Kimberly D Bessix DDS
Kool Smiles
Kredenna Beverly
Lauren Burger
Legacy Community Health
Leroy Koschel
Lewis Dental Studio
Lit Smiles Pediatric Dentistry
Louisiana Dental Center
LSU Health Science Center NO
LSU Mid City Dental Clinic
Mandy B. Grier
Marcela Jolivette, DDS
Marcie Adams
Mark Garon
MCNA Dental
Melissa Aldy
Michael J. Von Gruben
Michael Rabel
Miss-Lou Family Dentistry
Monticello Dental Care
Monticello Dentistry
O'Rourke Allen
OA Family Dental Care Clinic
Oak Hills Dental Care
Open Healthcare
Paulina Demos-Arne
Pediatric Dental
Pediatrics Specialist Bluebonnet
Peter Igoe
Premier Dental Care
Rabel Family Dentistry
Radiant Smiles
Randall Bergeron
Rebecca Day
Red Stick
Robert Delarosa
Robert Edwards
Rodeo Dental & Orthodontics Hous
Root Pediatric Dentistry
Russell Noles
Sancerie ORouke-Allen
Sandefer Premier Dental
Sherwood Dental
Shriver, Pam Dr.
Smart Dental Care
Smile Star Pediatric Denistry
Smile Studio
Smiling Starz
Southeast Community Health
Southern Oaks Family Dental Care
St Francisville Family Dentistry
St. Gabriel Health Clinic
St. Jude Affiliate Clinic
Stacey Owens
Stephaine Sotile
Steven Ripple
Stevens Dental
Sunny Day Pediatric Dentistry
T. C Morgan
Taylor Chadwick
Taylor Dental
Teryl Emary DDS
Tiffany Sykes
Tiger Town Dental
Todd Hartsfield
Topaz Dentistry
Trans Dental
Twinkling Smiles
Tyler Messa
United Health Care
Wampold, Richard DDS
Wyatt Dental
Yale Pediatric Dentistry
Yale Pediatric Dentistry
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)
Next Preschool School Year for 2025-2026
Children Ages 3-5 years old
Preschool School Year for 2024-2025
Children Ages 3-5 years old
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 applying with the East Baton Rouge Head Start Program. Someone will be in contact with you by July 2023. (#FF0000)
Required information is missing, see above.