Apply Online

Welcome to SCSD#1 Head Start! Head Start is a family-based program here to help the entire family by providing preschool, health and nutrition services, and family services here in Rock Springs. To start the application and see if your family qualifies for Head Start, please fill out the following information. Please keep in mind that your child needs to be at least 3 years old by August 1st to qualify for Head Start and that if they will be 5 on August 1st, they will be too old for Head Start but can go to Kindergarten. If you have already had a child attend Head Start (even if it was a long time ago), you can skip this online application and just call the school to update your information and apply for another child. If you have any questions, please call us at (307) 352-3430. Thank you!

Head Start is a program that is not just for your child but for your whole family! At Head Start we are a partner to help families with their needs, interests, and goals. We are here to help you find opportunities to share and use your strengths and to be a support in addressing needs or barriers to your goals.

First Name (Required)

Middle Name

Last Name (Required)

Nickname

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.

Race

Hispanic

English Proficiency

Other Language

Highest Grade Completed

Employment Status

Child's Relationship

Lives with Family

Head Start has classes in Rock Springs and Green River.

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

Only include information for a secondary adult if they are related to your child (the one who you are applying for) by blood, marriage, or adoption. If your partner is not your child's biological parent and you are not legally married, we still care about them, but you do not need to list their information here. If your child's biological parent does not live with you, there is a place below to indicate that.

Is there another parent/guardian in the family?

First Name (Required)

Middle Name

Last Name (Required)

Nickname

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

English Proficiency

Other Language

Highest Grade Completed

Employment Status

Child's Relationship

Lives with Family

Are there other adults in the household?

Add Another Adult

Please fill out as much of this information as you can. Try to give an idea of how much income your family has in a year before taxes. Head Start includes child support you receive as income. If you don't know your yearly income but you know your hourly wage and how many hours you usually work in a week, put that. We will talk more about this in person or over the phone.

Number of Parents/Guardians

Relationship to Participant(s)

Primary Language at Home

Is another language being acquired or learned at home?

Number in Family

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)?

Is your family receiving services from WIC?

WIC ID (if applicable)

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

Is at least one parent/guardian an active duty member of the United States military?

Is at least one parent/guardian a veteran of the United States military?

Here you can share information about your child. This is the one you are applying for. Remember that your child must be at least 3 years old by August 1st. This is also the only area that has a notes section, so feel free to add any questions or explanation from other areas as well as telling us a little bit about your child. Please let us know if your child has been screened at CDC since they turned 3, if they are on an IEP or IFSP and if you have any concerns about their development (for example, do you think they have a speech delay?).

First Name (Required)

Middle Name

Last Name (Required)

Suffix

Nickname

Birthday (Required)

Gender

Race

Hispanic

English Proficiency

Other Language

Primary Health Coverage

Doctor/Medical Home

Dentist/Dental Home

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

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

Which program are you applying for? (Required)

1st Location Preference

2nd 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 so much for starting the application for your child for Head Start! The next step is to set up an appointment to complete the application. If it turns out that your family does not qualify for Head Start or that we are already full, don't be discouraged. We can help you find other options for learning opportunities for your child.

Required information is missing, see above.

Parent/Guardian

Address

Additional Parent/Guardian

Other Adults

Family Information

Child (Applicant)

Location Preferences

Additional Applicant

Siblings