Welcome to Early Head Start! Our services for infants, toddlers, and pregnant women prepare Mecklenburg County’s youngest children to succeed in the next level of learning and in life beyond school. To achieve this, we deliver services to children and families in core areas of early learning, health, and family well-being while engaging parents as partners every step of the way
Parent/Guardian
Parent means a Head Start child's mother or father, other family member (who has legal guardianship), who is a primary caregiver, foster parent or authorized caregiver, guardian or the person with whom the child has been placed for purposed of adoption pending a final adoption decree.
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.
Employment Status
Full-time & Training
Full-time (35 hours/week or more)
Part-time & Training
Part-time (Under 35 hours/week)
Retired or Disabled
Seasonally Employed
Training or School
Unemployed
Child's Relationship
Biological/Adopted/Step
Foster
Grandchild
Other
Other Relative
Custody
Yes
No
Lives with Family
Yes
No
Teen Parent
Yes
No
Address
Your physical address will be used to determine which site your child will be placed. Your mailing address, if different from physical address, is where all mail communication will be sent.
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
Is there another parent or legal guardian in the household whose income supports the child?
Is there another parent/guardian in the family?
Yes
No
First Name (Required)
Middle Name
Last Name (Required)
Suffix
Birthday (Required)
Gender
Female
Male
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
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.
Employment Status
Full-time & Training
Full-time (35 hours/week or more)
Part-time & Training
Part-time (Under 35 hours/week)
Retired or Disabled
Seasonally Employed
Training or School
Unemployed
Child's Relationship
Biological/Adopted/Step
Foster
Grandchild
Other
Other Relative
Custody
Yes
No
Lives with Family
Yes
No
Family Information
Family means all personal living in the same household who are supported by the child's parent(s) or guardian(s) income; and are related to the child's parent (s) or guardian (s) by blood, marriage, or adoption; or are the child's authorized caregiver or legally responsible party.
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
Amharic
Arabic
BURMESE
CHINESE
English
French
HINDI
Igbo
Indian
Italian
JAPANESE
Karen
NEPALI
NEPALI
PERSIAN
PORTUGUESE
RUSSIAN
Spanish
Taiwanese
Tigrina
Vietnamese
Zomi
Number in Household
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 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
Child (Applicant)
This application is used for NEW applicants. If you have completed an application for this child previously, please contact Olga Billups at okbillups@bethlehemcenter.org or 704-371-7444 to follow up.
First Name (Required)
Middle Name
Last Name (Required)
Birthday (Required)
Gender
Female
Male
Does your child have a disability or do you have any concerns about your child's development?
Yes
No
Is there anything else you want to tell us about your child?
Location Preferences
Which program are you applying for? (Required)
Birth to 36 mos Year 2023-2024
August 2023 - July 2024
1st Location Preference
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2nd 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
A member of the Family Engagement team will contact you to complete your application. Your application does not guarantee placement in the Early Head Start program.
Required information is missing, see above.