Welcome to Southeastern Community Action Partnership Inc., where we provide a safe, supportive, and vibrant educational environment for children aged 3 to 5 years and their parents. Our comprehensive program addresses all areas of a child’s development: physical, mental, social, and emotional. Children and families receive a broad range of educational, nutritional, preventive health, and social services. We engage caregivers and children to address educational needs in a way that promotes long-term family sustainability. Our goal is to foster a lifelong love for learning for each of the children we serve. Please complete this form to begin the pre-screening process. Read and answer each question that is applicable to your family. All fields marked with an asterisk (*) are required.

Parent/Guardian

Please answer all required questions including education, employment, and relationship to child. Only answer "Yes" to the teen parent questions if you are younger than 19 years of age on the application date.

Address

You must provide your current living address. If the living address is different from the mailing address, provide the secondary address in the mailing address section. Southeastern Community Action Partnership (SCAP) is unable to accept a P.O. Box as your living address.
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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; or are the child’s authorized caregiver or legally responsible party.

Other Adults

Are there other adults in the household?

Add Another Adult

Family Information

The Office of Head Start defines family as all persons living in the same household who are supported by the child’s parent(s)’ or guardian(s)’ income; and are related to the child’s parent(s) or guardian(s) by blood, marriage, or adoption; or are the child’s authorized caregiver or legally responsible party.

Emergency Contacts

Child (Applicant)

Answer all required question for the child/children you are submitting the application for. If your child has an IEP or IFSP in place, please enter the diagnosis along with the services begin and end dates, in the note section.

Location Preferences
- Your Address - Available Locations
Click a location on the map to see more info
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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
You have one last step after you select save and continue. The next screen is the "Upload Document" screen. Please, scan or take a picture of the documents and upload them using your cell phone, computer or laptop. Select "Save and Continue".
Required information is missing, see above.