Please provide the following information so that we may contact you to discuss Early Head Start Home Visiting services.
Click here to find a provider in your area.
Please only enter information in this section for the child you would like to enroll in services. Child must be under the age of 3. If you are a pregnant mother seeking services for yourself, please complete this section with your information.
- 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 your interest in Crossroads Health Early Head Start! Once you've completed this pre-application, please click submit. We will call you within the next 3-5 days to answer all of your questions and to complete your application.
Required information is missing, see above.