Thank you for completing our online application for Floyd County Head Start Birth to Five. This information ensures we have record of your interest and speeds up the enrollment process. Bring in the following verifying documents for our face-to-face meeting to complete this application for your child. -The child's BIRTH CERTIFICATE (or other government-issued document with Date of Birth) -Proof of INCOME(Recent Tax Return, W-2, Last 2 Check Stubs, SSI/Foster Letter, or Signed No-Income in Person) -Proof of Address (Utility bill or State I.D.) -Health Insurance (if applicable) -Shot Records (If applicable) Office Locations: Children's Academy- 1111 Pearl Street. New Albany 47150 (812-542-4101, 812-542-4103) or Corydon Pike- 1902 Corydon Pike. New Albany 47150 (812-948-6981)
Please give information of the Primary Parent or Guardian who resides in the home with the child and has legal custody.
Please give your current home residence information
Click here to find a provider in your area.
Please give the info of the other parent/guardian (if residing in the home with child)

Are there other adults in the household?

Add Another Adult
- 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 time. Please note this does NOT secure your child's placement in the program. The verifying documentation and your signature is still required at our face-to-face meeting. Please call us with any questions! 2 Office Locations to stop by or set up an appointment: Children's Academy, 1111 Pearl Street. New Albany 47150 (812-542-4103, 812-542-4104) Corydon Pike, 1902 Corydon Pike. New Albany 47150 (812-948-6981) Please bring into our office the required documentation for verification: -Child's BIRTH CERTIFICATE (or other government-issued document with Date of Birth) -Proof of INCOME (Recent Tax Return, W-2, Last 2 Check Stubs, SSI/Foster Letter, or Signed No-Income in Person) -Proof of ADDRESS (Utility bill or State I.D.) -Health Plan (if applicable) -Shot Records (If Applicable)
Required information is missing, see above.