Apply Online

Thank you for your interest in our programs! Please complete the following information and someone from one of our sites will contact you to set up an appointment time. The information requested in this application can be completed here or if you prefer you can complete only the name (first, last), birthday (of guardian), email address and phone number. We will contact you within a week to set up an appointment time to review this information.

Please fill out all required fields so we can contact you. If you have any questions about the application, please call 207-739-6536 and speak with our Head Start Coordinator.

First Name (Required)

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.

Race

Hispanic

English Proficiency

Other Language

Highest Grade Completed

Employment Status

Child's Relationship

Please fill out all required fields so we can contact you. If you have any questions about the application, please call 207-739-6536 and speak with our Head Start Coordinator.

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 fill out all required fields so we can contact you. If you have any questions about the application, please call 207-739-6536 and speak with our Head Start Coordinator.

Number of Parents/Guardians

Relationship to Participant(s)

Primary Language at Home

Is another language being acquired or learned at home?

Number in Family

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

Please fill out all required fields so we can contact you. If you have any questions about the application, please call 207-739-6536 and speak with our Head Start Coordinator.

First Name (Required)

Last Name (Required)

Birthday (Required)

Gender

Race

Hispanic

English Proficiency

Other Language

Other Language Proficiency

Is there anything else you want to tell us about your child?

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

Thank you for your interest in our Head Start program. Please press Submit to finalize your application. We will contact you within a week to set up an appointment time to review this information. Any questions, please call (207) 739-6538.

Required information is missing, see above.

Parent/Guardian

Address

Family Information

Emergency Contacts

Child (Applicant)

Location Preferences

Additional Applicant