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**Thank you for your interest in SCS Head Start. If your child turns 3 before September 30, 2026, please apply for the 2026–2027 school year. Household income verification and your child's vaccination records are required to process the application.**

**Required Documentation for Enrollment** **Income Verification**: Acceptable documents include child support proof, income tax forms (W-2, 1040), pay stubs, SSI/SSDI statements, public assistance (TANF, SNAP), unemployment benefits, employer statements, foster care/adoption payments, or bank statements. * If you receive SNAP benefits, a photo of your SNAP card is sufficient, and no additional income documentation is required.* **Medical Records**: Provide your child’s immunization records and the most recent physical exam. **If you are unable to upload the documents to the application please email to eweber@scshelps.org**

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 (Required)

Opt In for Text Messages

Home Phone (Required)

Work Phone (Required)

Ext.

It appears that you have previously submitted an application. If you wish to apply again, please contact us by phone or in person.

SSN

Race

Hispanic

Lives with Family (Required)

Highest Grade Completed (Required)

Employment Status (Required)

Child's Relationship (Required)

Custody (Required)

Provides Financial Support (Required)

Teen Parent

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

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.

SSN

Race

Hispanic

Lives with Family (Required)

Highest Grade Completed

Employment Status

Child's Relationship (Required)

Custody (Required)

Provides Financial Support (Required)

Are there other adults in the household?

Add Another Adult

Number of Parents/Guardians (Required)

Relationship to Participant(s) (Required)

Primary Language at Home (Required)

Is another language being acquired or learned at home? (Required)

Number in Household (Required)

Number in Family (Required)

Is your family receiving cash benefits or other services under the Temporary Assistance for Needy Families (TANF) program? (Required)

Is your family receiving Supplemental Security Income (SSI)? (Required)

Is your family receiving services from WIC? (Required)

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

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

Household income verification and a copy of your child's immunization records and most recent physical exam will need to be submitted before the application can be processed.

First Name (Required)

Last Name (Required)

Birthday (Required)

Gender (Required)

SSN

Race (Required)

Hispanic (Required)

English Proficiency

Other Language (Required)

Other Language Proficiency

Primary Health Coverage (Required)

Other Coverage

Doctor/Medical Home (Required)

Dental Coverage (Required)

Dentist/Dental Home (Required)

Does your child have a disability or do you have any concerns about your child's development? (Required)

Is there anything else you want to tell us about your child?

Allergies/Medical (Required)

Application Taken By (Required)

Kinship Care (Required)

Living Situation (Required)

Permanently Housed (Required)

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 your interest in SCS Head Start. After you submit the required documents, your application will be processed, and the Head Start Administration Office will contact you within 10 days. Please be sure to include a phone number and email for follow-up.**

Required information is missing, see above.

Parent/Guardian

Address

Additional Parent/Guardian

Other Adults

Family Information

Emergency Contacts

Child (Applicant)

Location Preferences

Additional Applicant

Siblings