Apply Online

Hello Parents, Please know that filling out this application is the first step in the Head Start Program application process and it is not considered enrollment for your child. If you are a returning family, please contact us directly at 469-752-7160. If you are a new family, please prepare all of the required documents (attached below) and fill out the form with all of the information. Please enter all of the family members' names who are living in the household; please include everyone. 1-Child’s Birth Certificate 2- Parent/Legal Guardian Lease or Mortgage Contract or Utility Bill (Water, Gas, Electricity) 3- 2024 Income Tax Form for Both Parents [ex: 1040; W2; or any state benefits (SNAP, SSI, TANF Proof)] 4- Most updated immunization record 5- Parent/Legal Guardian Photo Identification 6-Copy of any Legal Documentation if any of the following apply to the applicant: guardianship paperwork or legal custodial rights; court order; or child support proof 7- Individual photo of the child

Please enter the parents' name as it appears on the birth certificate; 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)

Birthday (Required)

Gender (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

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 (Required)

Hispanic (Required)

Lives with Family (Required)

English Proficiency (Required)

Other Language

Other Language Proficiency

Highest Grade Completed (Required)

Employment Status (Required)

Child's Relationship (Required)

Custody (Required)

Provides Financial Support (Required)

Teen Parent (Required)

Please add a detailed address, including apartment number, if applicable.

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

If both parents appear on the Birth Certificate, please add the other parent information here. Please do NOT add a step-parent here; there is another tab for that later.

Is there another parent/guardian in the family?

First Name (Required)

Middle Name

Last Name (Required)

Birthday (Required)

Gender

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

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

Hispanic

Lives with Family

English Proficiency

Other Language

Highest Grade Completed

Employment Status

Child's Relationship

Custody

Provides Financial Support

Teen Parent

Are there other adults in the household?

Add Another Adult

Please fill out this area depending on your current status and 2024 annual income.

Number of Parents/Guardians (Required)

Relationship to Participant(s) (Required)

Primary Language at Home

Number in Family

Gross Annual Income (Required)

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

Is your family receiving Supplemental Security Income (SSI)? (Required)

Is your family receiving services from WIC? (Required)

Is your family receiving services under the Supplemental Nutrition Assistance Program (SNAP), formerly referred to as Food Stamps?

Please fill out all the fields for the child you are applying for, as it appears on the birth certificate.

First Name (Required)

Middle Name (Required)

Last Name (Required)

Birthday (Required)

Gender (Required)

SSN

Race (Required)

Hispanic (Required)

English Proficiency (Required)

Other Language

Primary Health Coverage (Required)

Medicaid Eligibility

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

Is there anything else you want to tell us about your child?

Which program are you applying for? (Required)

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.

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

Thank you for your interest in the Head Start Program. By clicking the button below, you certify that the information you have provided is complete and accurate. WE WILL CONTACT YOU TO SET UP AN INTERVIEW APPOINTMENT.

Required information is missing, see above.

Parent/Guardian

Address

Additional Parent/Guardian

Other Adults

Family Information

Child (Applicant)

Location Preferences

Additional Applicant

Siblings