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Thank you for your interest in Foothill Family’s Early Head Start (EHS) program! By taking this step, you are putting your baby’s best foot forward in life.

Early Head Start serves pregnant women and children up to age four. Because so much important growth and development happens in this stage of a child’s life, EHS is here to help you learn how to be the best parent you can be! The tools you and your child will gain from your participation in EHS will benefit you both as you grow and learn together.

Enrollment into Foothill Family’s Early Head Start program is ongoing, but eligibility depends on where you live and your income level.

Complete the application below to see if you qualify!

First Name (Required)

Middle Name

Last Name (Required)

Birthday (Required)

Gender

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

Opt In for Text Messages

Home Phone

Work Phone

Ext.

It appears that you have previously submitted an application. If you wish to apply again, please contact us by phone or in person.

Is your family experiencing homelessness?

Living Address (Required)

Address Line 2

City (Required)

State (Required)

ZIP (Required)

Click here to find a provider in your area.

Mailing Address same as Living Address

Mailing Address

Address Line 2

City

State

ZIP

Is there another parent/guardian in the family?

First Name (Required)

Middle Name

Last Name (Required)

Birthday (Required)

Gender

Mobile Phone

Opt In for Text Messages

Home Phone

Work Phone

Ext.

It appears that you have previously submitted an application. If you wish to apply again, please contact us by phone or in person.

Are there other adults in the household?

Add Another Adult

Number of Parents/Guardians

Relationship to Participant(s)

Primary Language at Home

Is another language being acquired or learned at home?

Number in Family

Gross Annual Income

First Name (Required)

Middle Name

Last Name (Required)

Suffix

Nickname

Birthday (Required)

Gender

Which program are you applying for? (Required)

Location Preference

1st Location Preference

2nd Location Preference

3rd Location Preference

- 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 applying to see if you qualify for Foothill Family’s Early Head Start program.

After you click the “Submit Application” button below, you will receive an email confirming that your application has been received. A staff member will contact you after submission of online application. Your selected Program can be changed at a later date, if needed.

We appreciate your interest in joining the program and look forward to speaking with you!

Required information is missing, see above.

Parent/Guardian

Address

Additional Parent/Guardian

Other Adults

Family Information

Child (Applicant)

Location Preferences

Additional Applicant

Siblings