Welcome to Head Start Child and Family Services, Inc. Online Pre-Application. We're thrilled you've chosen to take the first step towards joining our school family. Your interest in our program is greatly appreciated. The HSCFS Program offers Pregnant Mom services. If you are interested in Pregnant Mom services ONLY you will not be able to complete the Online Pre-Application. Exit out of the Online Pre-Application and contact Rosemary Benitez at 479-474-9378 to discuss the Pregnant Mom program. However, continue with the Online Pre-Application process if you are seeking services for Children ages 0-5. The Program Application will be completed in a two-step process. Step 1: • Complete the online portion of the Program Application • You can add one child or multiple children to the same online application • If you have completed an application in the past you will need to reach out to Sheri Newby to discuss updating your information. You may have issues with entering an Online Application if you have completed an application in the past. Step 2: • In the next few days you will receive a call from one of our staff to discuss what is needed to complete Step 2 of the process. • If your contact information changes prior to HSCFS contacting you, please call Sheri Newby at 479-474-9378 If you have any questions or need assistance at any point during the program application process, please don’t hesitate to reach out to our support team at 479-474-9378 to speak with Sheri Newby. Thank you for completing the online portion of your application for Head Start Child and Family Services, Inc.!
Parent/Guardian
First Name (Required)
Last Name (Required)
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
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 and/or Ethnicity - To specify multiracial and/or multiethnic please check all races and/or ethnicities that apply
American Indian or Alaska Native
Asian
Black or African American
Hispanic or Latino
Middle Eastern or North African
Native Hawaiian or Pacific Islander
White
Prefer not to answer
English Proficiency
Little
Moderate
None
Proficient
Other Language
American Sign Language
Caribbean Languages
English
European Slavic Languages
Far Eastern Asian Languages
Middle Eastern and India Languages
Native Central American, South American
Native North American/ Alaskan
Other
Spanish
Spanish
Other Language Proficiency
Little
Moderate
None
Proficient
Child's Relationship
Biological/Adopted/Step
Foster
Grandchild
Other
Other Relative
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 by blood, marriage, or adoption.
Is there another parent/guardian in the family?
Yes
No
First Name (Required)
Last Name (Required)
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 (Required)
Home Phone (Required)
Work Phone (Required)
Ext.
It appears that you have previously submitted an application. If you wish to apply again, please contact us by phone or in person.
Family Information
For TANF, SSI, WIC, or SNAP, only answer "Yes" if you are currently receiving benefits. Proof of Income and copies of award 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
Caribbean Languages
English
European Slavic Languages
Far Eastern Asian Languages
Middle Eastern and India Languages
Native Central American, South American
Native North American/ Alaskan
Other
Spanish
Spanish
Is another language being acquired or learned at home?
Yes
No
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
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
Child (Applicant)
If your child has an IEP or IFSP, please include the diagnosis along with the begin and end dates of services in the notes section below.
First Name (Required)
Middle Name
Last Name (Required)
Suffix
Birthday (Required)
Gender
Female
Male
Race and/or Ethnicity - To specify multiracial and/or multiethnic please check all races and/or ethnicities that apply
American Indian or Alaska Native
Asian
Black or African American
Hispanic or Latino
Middle Eastern or North African
Native Hawaiian or Pacific Islander
White
Prefer not to answer
Lives with Family
Yes
No
English Proficiency
Little
Moderate
None
Proficient
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)
Preschool for 2026-2027 School Year
Children Ages 3-5
Infant/Toddler for 2026-2027 School Year
Children Ages 0-3 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
In the next few days you will receive a call from one of our staff to complete Step 2 of the Program Application. Thank you for your interest in Head Start Child and Family Services, Inc.
Required information is missing, see above.