Apply Online

Welcome to the Pasco County Head Start/Early Head Start online application.

Children served by the Head Start Program must be at least 3 years old and no older than 5 years of age by 9/1 of the applying school year.

Children served by the Early Head Start program must be at least 1 year old and under 3 years old by 9/1 of the applying school year. The Home-Based program serves Expectant Families, infants, and toddlers who under 3 years of age by 9/1 of the applying school year.

Both Head Start and Early Head Start program services are subject to eligibility and slot availability.

ATTENTION: This application is for families who have never applied for the program. If you have previously applied online or are a returning parent (had a child on a previous waiting list or served in the program), do not submit another application using this online process.

If any of your contact information is in our family database from previously applying, you will not be able to complete this online application and will receive the following the message: "It appears that you have previously submitted an application. If you wish to apply again, please contact us by phone or in person."

Please email us the following information: Child's name, date of birth, and school you are requesting at hs_ehs@pasco.k12.fl.us

Complete all fields below. If you are having difficulty, contact us at hs_ehs@pasco.k12.fl.us

In this section the primary adult (biological parent/legal guardian) of the applying child (ren) should be listed.

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

Other Language Proficiency

Highest Grade Completed

Employment Status

Child's Relationship

Custody

Lives with Family

Provides Financial Support

Teen Parent

Families applying for services must provide proof of address at the time of the interview.

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

Address Line 2

City

State

ZIP

In this section do not list a secondary adult in the home if they are not the biological parent/legal guardian of the applying child.

Is there another parent/guardian in the family?

First Name (Required)

Last Name (Required)

Birthday (Required)

Gender

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.

Race

Hispanic

English Proficiency

Other Language

Other Language Proficiency

Highest Grade Completed

Employment Status

Child's Relationship

Custody

Lives with Family

Provides Financial Support

Teen Parent

Please complete all areas.

Family means all persons living in the same household who are supported by the child’s parent/guardian and are related to the child’s parent/guardian by blood, marriage, or adoption; or are the child’s authorized care giver or legally responsible party.

Number of Parents/Guardians

Relationship to Participant(s)

Primary Language at Home

Is another language being acquired or learned at home?

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?

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?

Please answer all questions for the applying child.

First Name (Required)

Last Name (Required)

Suffix

Birthday (Required)

Gender

Race

Hispanic

English Proficiency

Other Language

Other Language Proficiency

Primary Health Coverage

Does your child have a disability or do you have any concerns about your child's development?

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

Which program are you applying for? (Required)

1st Location Preference

2nd 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

Are there other children in the family?

Add a Sibling

Thank you for completing the Head Start/Early Head Start Application.

The primary adult will receive an email from SchoolMessage@childplus.net confirming that is was submitted (the email may go to your SPAM/JUNK box).

The next required step is an in-person interview with a staff member. Program staff will be contacting you by phone, text, and email to schedule an interview.

Required information is missing, see above.

Parent/Guardian

Address

Additional Parent/Guardian

Family Information

Child (Applicant)

Location Preferences

Additional Applicant

Siblings