Danville, Pennsylvania: Head Start Pre-K
Do not fill out this form if someone in the family has previously been enrolled in the Danville Head Start Pre-K Program. Instead, please contact us at: 570-271-3268 ext. 3700
Parent/Guardian
Please fill this section out for the Primary Adult
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
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 (Required)
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
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
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
Family Information
Primary Language at Home
American Sign Language
Asian Languages
English
Native American Languages
Other
Spanish
Spanish
Unspecified
Number in Family
Child (Applicant)
This section is for the child you wish to enroll into the Head Start program.
First Name (Required)
Last Name (Required)
Birthday (Required)
Gender (Required)
Female
Male
Lives with Family
Yes
No
Location Preferences
Which program are you applying for? (Required)
Danville Head Start Pre-K
Children Ages 3 and 4 by 8/31/24
Danville Head Start Pre-K
Children Ages 3 and 4 by 8/31/24
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
Thank you for your interest in the Danville Head Start Pre-K. We will contact you soon to set up an application appointment!
Required information is missing, see above.