This application will be used to determine you child’s eligibility for Head Start. In addition please be ready to provide verification of your child’s birth date, immunization record and proof of household income for the past 12 month or last tax year or SNAP or TANF statement letter during a follow up enrollment phone call.
Please Enter the Primary care provider, you will be given an option for a 2nd care provider later. You can change this at a later time if needed. This is the main Point of Contact.
Location on where you live or will be living prior to the school year starting.
Click here to find a provider in your area.
Please add a secondary parent or guardian if applicable. You can add release to contacts later and do not need to add emergency contacts in this section.
Your Child's Information.
- 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
For any fields that do not apply, please put N/A in them.
Required information is missing, see above.