Please fill out all fields. If one of your children has attended a Head Start or Great Start Readiness Program in the past or you receive a duplicate message, please all us at 734-994-8100 extension 1551. This means that you are already in our database system and we can update your records.
The Primary Adult is the Parent/Guardian who lives in the home.
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.
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Please include only if second parent/guardian lives in the home.
Please answer all questions in this section.
Please list the child that you are enrolling in one of our programs.
- Your Address - Available Locations
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I certify that this information is true. I understand that the information in this 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. Early Head Start of Washtenaw County will not discriminate against any individual or group because of race, sex, religion, age, national origin, color, marital status, handicap or political beliefs. Thank you for completing the application for Early Head Start. A program staff member will contact you within 10 business days to continue processing your application.
Required information is missing, see above.