The following is an application for Early Learning Indiana's Early Head Start program. The Early Head Start program provides comprehensive child development and family support services for families and their children who are 6 weeks old to their 3rd birthday.
Complete this information about the child's primary care giver.
Click here to find a provider in your area.
Complete if both parents are living in the same home or if married.
For TANF, SSI, WIC or SNAP only answer 'Yes' if you are currently receiving those benefits. Proof of income and copies of award letters will be requested.
Complete for the enrolling child.
- 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
You will receive an email confirmation once the application is submitted. We will contact you within 14 days to schedule an appointment to complete the application process and discuss your family's eligibility. You are responsible for updating contact information if it changes. We will only use the numbers and addresses submitted to notify you of your child's status.
Required information is missing, see above.