Thank you for including us on the first step towards your child's educational journey! If you are interested and want more information about our program, please complete the information below and a staff member will contact you with additional information.
Parent/Guardian
Please make sure to fill out this section completely.
First Name (Required)
Last Name (Required)
Birthday (Required)
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
Yes
No
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.
English Proficiency (Required)
Little
Moderate
None
Proficient
Other Language (Required)
African Languages
American Sign Language
Caribbean Languages
East Asian Languages
English
European/Slavic Languages
Middle East & South Asian Languages
Native Central American
Native North American or Alaskan
Pacific Islander Languages
Spanish
Spanish
Vietnamese
Address
Is your family experiencing homelessness?
Yes
No
Living Address (Required)
Address Line 2
City (Required)
State (Required)
ZIP (Required)
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Child (Applicant)
In child notes please include if your child has an active Individualized Educational Plan (IEP) or Individualized Family Service Plan (IFSP).
First Name (Required)
Last Name (Required)
Birthday (Required)
Location Preferences
Which program are you applying for? (Required)
25-26 Head Start
25-26 EHS CCP
25-26 EHS Basic
Location Preference
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1st Location Preference
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2nd Location Preference
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3rd Location Preference
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- Your Address
- Available Locations
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Additional Applicant
Do you want to apply now for another child in your family?
Add Another Applicant
Required information is missing, see above.