If you have previously completed an application through this website or at a center, we already have your information. Please contact the center closest to you for more information.
See the Center Contact page on this site.

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

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.

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.

Is there another parent/guardian in the family?

First Name (Required)

Last Name (Required)

Birthday (Required)

Gender

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.

Are there other adults in the household?

Add Another Adult

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?

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 applying to see if you qualify for College of Southern Idaho Head Start (HS) / Early Head Start (EHS) program.

After you click the “Submit Application” button below, you will receive an email confirming that your application has been received. A staff member will contact you after submission of online application. Your selected Program can be changed at a later date, if needed.

We appreciate your interest in joining the program and look forward to speaking with you!

Required information is missing, see above.

If you have previously completed an application through this website or at a center, we already have your information. Please contact the center closest to you for more information.
See the Center Contact page on this site.

Parent/Guardian

Address

Additional Parent/Guardian

Other Adults

Family Information

Child (Applicant)

Location Preferences

Additional Applicant

Siblings

If you have previously completed an application through this website or at a center, we already have your information. Please contact the center closest to you for more information. See the Center Contact page on this site.

Parent/Guardian

Address

Additional Parent/Guardian

Other Adults

Family Information

Child (Applicant)

Location Preferences

Additional Applicant

Siblings

If you have previously completed an application through this website or at a center, we already have your information. Please contact the center closest to you for more information.
See the Center Contact page on this site.