Welcome to the 4C Head Start/Early Head Start parent application process! We're thrilled to have you take this important step towards providing your child with a strong foundation for learning and growth. By choosing to apply online, you're making the process convenient and accessible. At 4C, we understand the significance of early childhood education and parental involvement in shaping a child's future. Your decision to apply demonstrates your commitment to your child's development, and we're here to support you every step of the way. Through our online application, you'll find a user-friendly platform designed to streamline the process, making it easier for you to provide us with the necessary information. We recognize the value of your time and aim to make this experience as efficient and straightforward as possible. Thank you for considering 4C Head Start/Early Head Start for your child's educational journey. We look forward to partnering with you and your family to create a nurturing and enriching environment for your child's early years. If you have any questions or need assistance during the application process, or have already submitted an application and would like to check on it, please don't hesitate to reach out to us at 407-532-4365. Together, let's pave the way for your child's bright future!
Parent/Guardian
You must complete all areas for this application to be submitted. Not filling in ANY area or question, will not allow you to submit an online application. If answers to questions are not applicable, please type "n/a" so that the application is allowed to be submitted.
First Name (Required)
Middle Name
Last Name (Required)
Suffix
Birthday (Required)
Gender
Female
Male
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
Yes
No
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.
English Proficiency
Little
Moderate
None
Proficient
Other Language
American Sign Language
Arabic
Chinese
Creole
English
French
Hindu
Japanese
Other
Persian
Portugese
Spanish
Vietnamese
Other Language Proficiency
Little
Moderate
None
Proficient
Address
Please make sure that all fields are answered with current information.
Is your family experiencing homelessness?
Yes
No
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
Additional Parent/Guardian
For this program, the "Second adult" is considered the spouse or biological parent of the child, that is also living in the household, you are applying for. You must complete all areas for this application to be submitted. Not filling in ANY area or question, will not allow you to submit an online application. If answers to questions are not applicable, please type "n/a" so that the application is allowed to be submitted.
Is there another parent/guardian in the family?
Yes
No
First Name (Required)
Middle Name
Last Name (Required)
Suffix
Birthday (Required)
Gender
Female
Male
English Proficiency
Little
Moderate
None
Proficient
Other Language
American Sign Language
Arabic
Chinese
Creole
English
French
Hindu
Japanese
Other
Persian
Portugese
Spanish
Vietnamese
Other Language Proficiency
Little
Moderate
None
Proficient
Family Information
For TANF, SSI, WIC or SNAP only answer 'Yes' if you are currently receiving those benefits. Proof of Income and copies of awards letters will be requested.
Number of Parents/Guardians
One Parent Family
Two Parent Family
Relationship to Participant(s)
Foster parent(s) not including relatives
Grandparent(s)
Other
Parent(s) (e.g. biological, adoptive, stepparents)
Relative(s) other than grandparents
Primary Language at Home
American Sign Language
Arabic
Chinese
Creole
English
French
Hindu
Japanese
Other
Persian
Portugese
Spanish
Vietnamese
Number in Household
Number in Family
Gross Annual Income
Is your family receiving cash benefits or other services under the Temporary Assistance for Needy Families (TANF) program?
Yes
No
Is your family receiving Supplemental Security Income (SSI)?
Yes
No
Is your family receiving services from WIC?
Yes
No
WIC ID (if applicable)
Is your family receiving services under the Supplemental Nutrition Assistance Program (SNAP), formerly referred to as Food Stamps?
Yes
No
Is at least one parent/guardian an active duty member of the United States military?
Yes
No
Is at least one parent/guardian a veteran of the United States military?
Yes
No
Emergency Contacts
Add Emergency Contact
Child (Applicant)
Applicants are the child who you are applying for services for. If you are applying for multiple children, you will need to complete an application for each child. Applicants who are applying for the Pregnant Mother's program, please write "Unborn" for the child's first name.
First Name (Required)
Last Name (Required)
Birthday (Required)
Location Preferences
Which program are you applying for? (Required)
4C Early Head Start -CCP 2024-2025
4C Early Head Start 2024-2025
4C Head Start 2024-2025
Early Head Start- Expansion 2023-2024
Early Head Start at Ferguson in Orlando
Early Head Start
Early Head Start ages 6 weeks to 2yr 11months
Head Start 2023-2024
Head Start Seminole/Osceola ages 3-5 years old
4C Early Head Start-EXP-NPE - 2024-2025
EHS- Child Care Partnerships 2023-2024
Early Head Start CCP- working 20hr/in school full time 2023-2024
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
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
Siblings
Are there other children in the family?
Add a Sibling
Thank you for your interest in the Head Start and Early Head Start Program. Please click submit to finalize your application. We will contact you to set up an intake appointment.
Required information is missing, see above.