Please provide the following information so that we may contact you to discuss Early Head Start/Head Start Home Visiting services.
Click here to find a provider in your area.
Please only enter information in this section for the person you would like to enroll in services. Children must be 5 years of age or younger. If you are a pregnant mother seeking services for yourself, please complete this section with your information. ***If you are completing this referral on behalf of someone else, please note your name and relationship to the applicant in the section asking for additional notes/details about the child.***
- Your Address - Available Locations
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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 Crossroads Health Early Head Start/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.