Welcome to Washtenaw County's Preschool Pre-Application for Head Start and Great Start Readiness Programs!

Let’s get started!

This application helps us learn more about your child and family so we can match you with the right preschool options.

Please complete all sections as accurately as possible. Every detail helps!

For step-by-step help, preschool locations, and helpful resources: Click Here .

The Primary Adult is the Parent/Guardian who lives in the home.

First Name (Required)

Middle Name

Last Name (Required)

Suffix

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 (Required)

American Indian or Alaska Native

Asian

Black or African American

Hispanic or Latino

Middle Eastern or North African

Native Hawaiian or Pacific Islander

White

Lives with Family

Other Language

Highest Grade Completed

Employment Status

Child's Relationship

Custody

Provides Financial Support

Teen Parent

Currently pregnant?

Need Resourses?

Estimated Income

Head Start and Great Start Readiness Programs defines homeless as living in a shelter, motel, hotel, campground, vehicle, or in a residence that is not fixed, regular or adequate. Your Living Address: Line 1 (Street): Your house number and street name. Example: 123 Main St. Line 2 (Apt, Lot, Unit): Your apartment, lot, or unit number. Example: Apt 101 Leave blank if not applicable.

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

Please include only if second parent/guardian lives in the home.

Is there another parent/guardian in the family?

First Name (Required)

Middle Name

Last Name (Required)

Suffix

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.

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

American Indian or Alaska Native

Asian

Black or African American

Hispanic or Latino

Middle Eastern or North African

Native Hawaiian or Pacific Islander

White

Lives with Family

English Proficiency

Other Language

Other Language Proficiency

Highest Grade Completed (Required)

Employment Status

Child's Relationship

Custody

Provides Financial Support

Teen Parent

Currently pregnant?

Need Resourses?

Estimated Income

Please answer all questions in this section.

Number of Parents/Guardians

Relationship to Participant(s)

Primary Language at Home

Is another language being acquired or learned at home?

Number in Household

Number in Family

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?

Add Emergency Contact

Please list the child that you are enrolling in one of our programs.

First Name (Required)

Middle Name

Last Name (Required)

Suffix

Nickname

Birthday (Required)

Gender

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

American Indian or Alaska Native

Asian

Black or African American

Hispanic or Latino

Middle Eastern or North African

Native Hawaiian or Pacific Islander

White

Lives with Family (Required)

English Proficiency

Other Language

Other Language Proficiency

Primary Health Coverage

Other Coverage

Insurance Number

Medicaid Eligibility

Medicaid Number

Doctor/Medical Home

Dental Coverage

Dental Coverage Number

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?

First Preference (Required)

Second Preference

Third Preference

How'd you learn about us?

Were you referred?

By Whom?

Working w/other agencies

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

I certify that this information is true. I understand that the information in this pre-application will be held in strict confidence with the agency with the exception of other preschool programs for the purpose of coordination of services, and is accessible to me during normal business hours.

Thank you for completing the application for Head Start or Great Start Readiness Program.

* A program staff member will contact you to continue processing your pre-application.

Once you submit your Online Pre-Application for New Families by clicking on Save and Continue, you will be directed to your family's Pre-Application Document Upload page. Please remember to bookmark this page for easy access in case you need to return. You can also find this link in the email sent by the system. If you don’t see the email in your inbox, be sure to check your spam or junk folder.

For pre-application assistance, please email WISD Enrollment Team at: preschoolenrollment@washtenawisd.org

Required information is missing, see above.

Welcome to Washtenaw County's Preschool Pre-Application for Head Start and Great Start Readiness Programs!

Parent/Guardian

Address

Additional Parent/Guardian

Family Information

Emergency Contacts

Child (Applicant)

Location Preferences

Additional Applicant

Siblings