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Hi there! Thank you for your interest in the Head Start program. We're excited to connect with you! Please take a few minutes to complete this pre-application. Once submitted, a member of our team will review your information and reach out to you to discuss next steps and support you through the enrollment process. If you have any questions or need assistance at any time, please don't hesitate to call us at 603-752-7138. We're here to help!

First Name (Required)

Last Name (Required)

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

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 and/or Ethnicity - To specify multiracial and/or multiethnic please check all races and/or ethnicities that apply

American Indian or Alaska Native

Asian

Black or African American

Hispanic or Latino

Middle Eastern or North African

Native Hawaiian or Pacific Islander

White

Prefer not to answer

Other Language

Employment Status

Child's Relationship

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

Is there another parent/guardian in the family?

First Name (Required)

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

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

Are there other adults in the household?

Add Another Adult

Relationship to Participant(s)

Number in Family

Is your family receiving services from WIC?

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

First Name (Required)

Last Name (Required)

Birthday (Required)

Gender

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)

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 submitting your pre-application! A member of our team will be in touch with you soon to continue the enrollment process and help schedule an intake appointment. To help move things along, you may be asked to provide documentation such as proof of income (SNAP, TANF, SSI, W-2 or current pay stubs) and your child's proof of birth. If you do not have these items right now, that's okay_ we're here to help guide you through the process. If you already have documents and would like to share them, you may send them to tcchs@tccap.org or upload your attachments here Otherwise, we will work with you during the enrollment process. If you have any questions, please feel free to contact us at 603-752-7138 We look forward to connecting with you!

Required information is missing, see above.

Parent/Guardian

Address

Additional Parent/Guardian

Other Adults

Family Information

Child (Applicant)

Location Preferences

Additional Applicant

Siblings