Apply Online

Please make sure you provide a phone number where you can be contacted, Thank You.

First Name (Required)

Middle Name

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.

Employment Status

Child's Relationship

Teen Parent

Address

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

Other Adults

Are there other adults in the household?
Add Another Adult

Family Information

Number of Parents/Guardians

Relationship to Participant(s)

Primary Language at Home

Number in Household

Gross Annual Income

Is your family receiving cash benefits or other services under the Temporary Assistance for Needy Families (TANF) program?

Is your family receiving Supplemental Security Income (SSI)?

Child (Applicant)

First Name (Required)

Middle Name

Last Name (Required)

Birthday (Required)

Gender

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

Location Preferences

Which program are you applying for? (Required)

2024-2025 - EHS - Early Education Program-

Birth to 2 years

2024-2025 - RHS - Early Education Program-

Children Ages 3 to 4 years

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.

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 your interest in the Head Start Program. Please click submit to finalize your pre-application. We will contact you to set up an intake appointment.

Submitting your pre-application begins the official part of the enrollment process. We will review your pre-application and contact you within five business days. (You would also receive an email after completing this pre-application acknowledging your submittal.)
NOTE: Your completed pre-application does not guarantee enrollment into the Head Start Program.

Required information is missing, see above.

Parent/Guardian

Address

Other Adults

Family Information

Child (Applicant)

Location Preferences

Additional Applicant

Siblings