Thank you for your interest in our Head Start and Early Head Start program: We have the following options available: EHS for pregnant moms EHS for children from birth to age 3 HS, EPK, and UPK for children from age 3 and age 4
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.
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
African Languages
American Sign Language
Arabic
Burmese
Dari
Dutch
Eastern European
English
Filipino
French
German
Karen
Karenni
Nepali
Polish
Portuguese
Somali
Spanish
Sudonese
Swaili
Tirinya
Turkish
Vietnamese
Other Language Proficiency
Little
Moderate
None
Proficient
Teen Parent
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.
Child (Applicant)
First Name (Required)
Middle Name
Last Name (Required)
Birthday (Required)
Gender
Female
Male
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
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 2024-2025
Early Head Start 2024-2025
School year starting in September 2023
School year starting in September 2023
School year starting in September 2023
School year starting in September 2023
Location Preference
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1st Location Preference
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2nd Location Preference
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3rd Location Preference
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- 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
Congratulation! We have received your online application. A member of the staff will contact you to complete the enrollment process. As part of the process, we will need a copy of your child's birth certificate, proof of income (1-month pay stubs, DHS paperwork, SSI or current tax return), immunization record, and current physical. Thank you
Required information is missing, see above.