Welcome to the CDCFC Head Start! After completing this online intake form, you will be contacted to complete the application.

Parent/Guardian

Enter information about the child's primary guardian.

Address

Enter your permanent or temporary living address.
Click here to find a provider in your area.

Child (Applicant)

Enter information pertaining to the child you are enrolling.

Location Preferences
- Your Address - Available Locations
Click a location on the map to see more info
Click here to find a provider in your area.

Additional Applicant

Do you want to apply now for another child in your family?

Add Another Applicant
Documents required for the application: 1. Public Assistance Documentation (TANF cash assistance, SSI-Supplemental Security Information or SNAP) 2. Income Verification: If you are not on TANF cash assistance, SSI, SNAP, Foster Care, or Homeless, then income is collected. The following are acceptable types of documentation: Tax return 1040, W2, pay stubs, or letter from employer on letterhead . This is for the past calendar year or past 12 months. 3. Birth Verification (Birth certificate, etc.) Additional information needed: 4. Immunization Records (With child's name) 5. Health Insurance Information (Insurance card)
Required information is missing, see above.