Please fill out all fields to submit a pre-application for the Self Help, Inc. Head Start Preschool Program. Please note that once this is submitted your application is not yet complete. You must then either call the center to complete your application at 508-587-1716 or you may come into either the Brockton, Norton or Whitman center to complete your application. All documentation must be received in order for your application to be complete. Thank you!
PLEASE FILL OUT ALL FIELDS FOR PRIMARY ADULT HOUSEHOLD MEMBER.
PLEASE FILL OUT LIVING ADDRESS AND MAILING ADDRESS IF DIFFERENT.
Click here to find a provider in your area.
PLEASE FILL OUT ALL FIELDS FOR SECONDARY ADULT HOUSEHOLD MEMBER.
PLEASE FILL OUT FAMILY INFORMATION FIELDS.
PLEASE FILL OUT FIELDS FOR CHILD YOU ARE APPLYING FOR.
- Your Address - Available Locations
Click a location on the map to see more info
Click here to find a provider in your area.

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Add Another Applicant
Thank you for your interest in the Head Start Program. By clicking the button below you certify that the information you have provided is complete and accurate.
Required information is missing, see above.