Apply Online

In order to submit an online application for WAGES Head Start or Early Head Start programs, you MUST have a valid email address. If you do not have an email address at this time you may print an application from our website, complete it and submit to our administrative office located at 601 Royall Ave., Goldsboro NC 27534. Returning Parents/Families: If you have applied for services for any of your children or if any of your children have been enrolled at WAGES, please DO NOT complete this online application. If you attempt to submit an application and your email address in already in our system, please contact Lisa Jones at (919)734-1178 extension 254 or by email at lisa@wagesnc.org. If you would like to submit an application for NC Pre-K sites other than WAGES (Carver and Royall Ave), please contact the Partnership for Children of Wayne County, 800 N William St, Goldsboro NC, (919)735-3371.

Please complete the following information for the primary Parent/Guardian.

First Name (Required)

Middle Name

Last Name (Required)

Birthday (Required)

Gender (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

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.

Race and/or Ethnicity - To specify multiracial and/or multiethnic please check all races and/or ethnicities that apply (Required)

American Indian or Alaska Native

Asian

Black or African American

Hispanic or Latino

Middle Eastern or North African

Native Hawaiian or Pacific Islander

White

Prefer not to answer

Lives with Family (Required)

English Proficiency

Other Language

Other Language Proficiency

Highest Grade Completed (Required)

Employment Status (Required)

Child's Relationship (Required)

Custody

Provides Financial Support

Teen Parent

Employer Name

How long at current job?

If unemployed, how long?

Housing Status?

WAGES uses the legal definition of Homelessness according to the McKinney-Vento Homeless Assistance Act to determine if families are experiencing homelessness. This can include: families who lack a fixed, regular, and adequate nighttime residence; families who are sharing the housing of other persons due to loss of housing, economic hardship, or a similar reason; families living in motels, hotels, trailer parks, or camping grounds due to the lack of alternative accommodations; families living in emergency or transitional shelters; individuals abandoned in hospitals or are awaiting foster care placement.

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

Please complete the following information for the secondary Parent/Guardian ONLY if they reside in the home with the child you are applying for.

Is there another parent/guardian in the family?

First Name (Required)

Middle Name

Last Name (Required)

Birthday (Required)

Gender (Required)

Email Address

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

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.

Race and/or Ethnicity - To specify multiracial and/or multiethnic please check all races and/or ethnicities that apply (Required)

American Indian or Alaska Native

Asian

Black or African American

Hispanic or Latino

Middle Eastern or North African

Native Hawaiian or Pacific Islander

White

Prefer not to answer

Lives with Family (Required)

English Proficiency

Other Language

Other Language Proficiency

Highest Grade Completed (Required)

Employment Status (Required)

Child's Relationship (Required)

Custody

Provides Financial Support

Teen Parent

Employer Name

How long at current job?

If unemployed, how long?

Please complete the following information about your family. Parental Status should reflect parent(s)/guardian(s) that reside in the same home with the child you are applying for.

Number of Parents/Guardians (Required)

Relationship to Participant(s) (Required)

Primary Language at Home (Required)

Is another language being acquired or learned at home?

Number in Household (Required)

Number in Family (Required)

Is your family receiving cash benefits or other services under the Temporary Assistance for Needy Families (TANF) program?

Is your family receiving Supplemental Security Income (SSI)?

Is your family receiving services from WIC?

Is your family receiving services under the Supplemental Nutrition Assistance Program (SNAP), formerly referred to as Food Stamps?

Is at least one parent/guardian an active duty member of the United States military?

Is at least one parent/guardian a veteran of the United States military?

Add Emergency Contact

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 interest in the WAGES Head Start or Early Head Start programs. Please review your information then click "Submit Application". We will contact you to complete the application process. At that time, you will be required to provide verification of child's age and either verification of receipt of public assistance OR household income received during the previous 12 months if you haven't already uploaded this documentation.

Required information is missing, see above.

Parent/Guardian

Address

Additional Parent/Guardian

Family Information

Emergency Contacts

Child (Applicant)

Location Preferences

Additional Applicant

Siblings