Welcome to Martin County School District 2025-2026 HEAD START PROGRAM Please complete our Online application. Someone from our agency will contact you soon. Thank You!!
Parent/Guardian
First Name (Required)
Middle Name
Last Name (Required)
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.
SSN
Race
American Indian or Alaska Native
Asian
Black or African American
Multi-racial/Biracial
Native Hawaiian/Other Pacific Islander
Other
Unspecified
White
Hispanic
Yes
No
Lives with Family
Yes
No
English Proficiency
Little
Moderate
None
Proficient
Other Language
Acateco
Aguacateco
American Sign Language
Bangla
Creole
English
French
Kanjo'bal
Mam
Other
Patua
Popti
Quiche
Spanish
Spanish
Other Language Proficiency
Little
Moderate
None
Proficient
Highest Grade Completed
Associate's Degree
Bachelor's Degree
College Degree/Training Cert.
College or Advance Training
General Education Diploma
Grade 10
Grade 11
Grade 12
Grade 9 or less
High School Graduate
Master's Degree
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
Provides Financial Support
Yes
No
Teen Parent
Yes
No
If Teen Parent, Subsidized?
Yes
No
Address
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/guardian in the family?
Yes
No
First Name (Required)
Middle Name
Last Name (Required)
Birthday (Required)
Gender
Female
Male
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.
Family Information
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
Acateco
Aguacateco
American Sign Language
Bangla
Creole
English
French
Kanjo'bal
Mam
Other
Patua
Popti
Quiche
Spanish
Spanish
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?
Yes
No
Is your family receiving Supplemental Security Income (SSI)?
Yes
No
Is your family receiving services from WIC?
Yes
No
Is your family receiving services under the Supplemental Nutrition Assistance Program (SNAP), formerly referred to as Food Stamps?
Yes
No
Emergency Contacts
Add Emergency Contact
Child (Applicant)
First Name (Required)
Middle Name
Last Name (Required)
Nickname
Birthday (Required)
Gender
Female
Male
SSN
Race
American Indian or Alaska Native
Asian
Black or African American
Multi-racial/Biracial
Native Hawaiian/Other Pacific Islander
Other
Unspecified
White
Hispanic
Yes
No
English Proficiency
Little
Moderate
None
Proficient
Other Language
Acateco
Aguacateco
American Sign Language
Bangla
Creole
English
French
Kanjo'bal
Mam
Other
Patua
Popti
Quiche
Spanish
Spanish
Other Language Proficiency
Little
Moderate
None
Proficient
Primary Health Coverage
Children's Health Insurance Program (CHIP)
Combined Medicaid/CHIP
Medicaid
No Insurance
Other
Private Health Insurance
State-Only Funded Insurance
Other Coverage
Children's Health Insurance Program (CHIP)
Combined Medicaid/CHIP
Medicaid
No Insurance
Other
Private Health Insurance
State-Only Funded Insurance
Insurance Number
Medicaid Eligibility
Not Eligible
On Medicaid
Potentially Eligible
Medicaid Number
Doctor/Medical Home
ABC Pediatrics
All About Kids Pediatrics
Arick R G Dr/Optmrst
Bascom Palmer
Bee Well Pediatrics
Big Lake Eye Care
Bushey,Yvette
Children Phyicians
Children's Physicians
Childrens Physicians
Cohen's
Daniel Durante
Doctor Pineiro
DOH School Health Nurse
Dr Johnson
Dr. A. Gamez
Dr. Abu
Dr. Amanda Peck
Dr. Bradley J. Braford
Dr. Correa
Dr. Craig Willert
Dr. Czerwinski
Dr. Daniel
Dr. Emily Sou FAAP
Dr. Friedman
Dr. Jackson
Dr. Jagadish
Dr. James Autin
Dr. Jose Vazquez
Dr. Katz
Dr. L. C. Erbe
Dr. M. Papa
Dr. Michael Borchetta, D.O.
Dr. Monique Mondesir
Dr. Moshe Adler
Dr. Ronald McGordon
Dr. Scheel
Dr. Simmons
Dr. Spencer
Dr. Stephen Allison
Dr. W. Olivos
Dr. Wicina
Emily K. Underwood, APRN
ENT Specialist
Eye Doctor
Eye Glass World
EyeCare Vision Group
FCHC
FCHC
FCHC Indiantown
FDLRS
Florida Community Health Centers
Florida Community Health Centers
Florida Eye
Fort Pierce Peds
Gardens Pediatrics
Gricela Grullon
GRISELDA GRULLON
Handy Handouts
Hazel Romero
Health Department
Helix Urgent Care
Helping People Succeed
Indiantown Community Mobile Pant
Indiantown Peds
Institute of Hollistic Healing
Johnnie Ruth Clarke Pediatrics
Jupiter Pediatric
Karen Smith
Katz Pediatrics
KidCare
Kids Eye Dr, LLC
Kids Health Place
Kids Place Pediatrics
KMartin County Health Department
Kristen Walker
LEGACY
Little Lights Dentistry
Little People Pediatrcs
Loving Chiropractic of Stuart
Maritza Samuel
Martin County Health Department
Martin Health Pediatric Care
Martin Memorial Pediatric Care
Martin Pediatrics/Dr. Bowling
MCSD HEAD START/VPK PROGS.
MD Now Urgent Care
MedStat Urgent Care
Miguel Pereira-Robert
MMMC
Normil-Smith
Oceans Pediatrics
Optimal Care Pediatrics
Osceloa Optique
Pahokee Pediatric Associates
Palm City Eye Care
Pediatric associates
Pediatric Associates
Pediatric Cardiologist
Pediatric Hematology
Pediatric Partners
Pediatric Prime Care
Pediatrics of St. Lucie
Pedro Jakos
Philip Colaizzo
Physicians For Children
Pietro Bolontto
Primary Care Clinics
Ronald Mccord
ST Lucie West-Pediatrics Assoc
St Lucie Women and Children
St. Mary's Hospital
Stuart Urgent Care
TC Urgent & Family Care
Tender Care Pediatrics
The Pediatric Center
Three Palms Center
TPC Wellington
Treasure Coast Community Health
Treasure Coast ENT
Treasure Coast Pediatrics
TYKES & TEENS
Value Specs
Volunteers in Medicine
Walmart
Whole Child Connection
WIC
Dental Coverage
Children's Health Insurance Program (CHIP)
Combined Medicaid/CHIP
Medicaid
No Insurance
Other
Private Health Insurance
State-Only Funded Insurance
Dental Coverage Number
Dentist/Dental Home
Ardalan Dental
BGR Dental
Christian Community Center
Community Christian
Community Health Centers Inc
Dale Pediatric Dentistry
Dental Specialist
Dental works Studio
Dermody Pediatric Dentistry & Or
Dr. Burt Jordan
Dr. Carlos A. Morales, D.D.S
Dr. Christie Michaud
Dr. Christopher M. Dermody
Dr. Cindy wilson
Dr. Cortez
Dr. Emily Sou FAAP
Dr. F. Munoz
Dr. Frank Maye
Dr. Irwine Sainvil
Dr. Jackson
Dr. Jay Gelman
Dr. Jessica Sanchez
Dr. Jimenez
Dr. Julie Sugar
Dr. Leminh
Dr. Loan Leminb
Dr. Luis Matos
Dr. Marie Eyusquirza
Dr. Mays
Dr. Munoz
Dr. Nancy H. Torres D.D.S
Dr. Norman Shumate
Dr. Pamela Brandao
Dr. Patrick Cello
Dr. Popper
Dr. Shekha Patel
Dr. St Preux
Dr. Steinfield
Dr. Yuri Goldvasser
Drt. Alida Zayas
East Coast Migrant Head Start Pr
Emmanuel Acheampong
Family first dental care
FCHC
FCHC Indiantown
FCHC-STUART
FHCC
First Care Dental
First Care Dental
Florida Community Health Centers
Florida Kids Dental
Forever Smiles
Fort Pierce Peds
Gental Dental
Great Expressions
Great Expressions Dental Centers
Green Acres Dental
Handy Handouts
Happy Smiles
Harrison Hodgman, DDS
Health Department
Jashua Adametz, DMD
Kaitlin Rodriguez
Light of the world charities
light of the world dentistry
Little by Little Ped Dentist
Little Royals Dentristy For Kids
Little Smiles
Main Street Smiles
Martin County Health Department
MCHD ST LUCIE FL
NA
Oceans Pediatrics
Pediatric Dentistry
Pelican Dental
Polo Dental
Premier Dade City Dental
Sage Dental
Shekhan Patel
Stuart Pediatric Dentistry
Stuart Urgent Care
Sunshine Health
Whole Child Connection
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)
Head Start 2025-2026
Location Preference
<p></p>
1st Location Preference
<p></p>
2nd Location Preference
<p></p>
3rd Location Preference
<p></p>
- 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
Required information is missing, see above.