Online Application Instructions: Fill out all required fields (those with that say "Required"). Fill out as much as possible the optional fields (the more information we have the better our ability to serve you). Make sure to hit the submit button at the end of the application. By submitting this application online you are certifying that the information given on this application is correct to the best of your knowledge.
Click here to find a provider in your area.
Please fill out the following information on the child you wish to enroll with us. Please note that Medicaid means MaineCare.

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
By submitting this application online you are stating that you understand that this application serves as an application for both preschool, Head Start and Early Head Start services. If it is determined that your child is eligible, you agree that this online application will serve as the application for Head Start or Early Head Start. In accordance with Federal Regulations, Penquis does not discriminate in access to or the provision of its services. ***Additional information will be required to complete the application process: Copy of Child's Official Birth Certificate; Copy of Child's Current Immunization Record; Proof of Income (W-2 or 1040 Tax Form); TANF (last 12 months); SSI; Social Security Benefits; etc., need to be mailed or dropped off to Penquis Child Development, 262 Harlow St or PO BOX 1162, Bangor, ME 04402-1162. Thank you for your interest in Penquis Child Development. We will be in touch soon to let you know the status of your application.
Required information is missing, see above.