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Thank you for your interest in our program! Head Start and Early Head Start are state and federally funded programs for young children ages birth to five and pregnant women. Any family may apply for Head Start, but priority is given to those with limited income and children with special needs including children with severe disabilities. We serve: Mahnomen, Hubbard, Becker, Otter Tail, and Wadena Counties. If you have applied for MAHUBE-OTWA Head Start in the past, please call Head Start enrollment at: (218) 847-1385 or (218) 616-0240 to update your record.

(Legal name)

First Name (Required)

Middle Name

Last Name (Required)

Nickname

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.

SSN

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

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 same as Living Address

Mailing Address

Address Line 2

City

State

ZIP

(Legal name)

Is there another parent/guardian in the family?

First Name (Required)

Middle Name

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.

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.

SSN

Race

Hispanic

English Proficiency

Other Language

Other Language Proficiency

Highest Grade Completed

Employment Status

Child's Relationship

Lives with Family

Provides Financial Support

Teen Parent

Are there other adults in the household?

Add Another Adult

Family size and income include only those living in the same household.

Number of Parents/Guardians

Relationship to Participant(s)

Primary Language at Home

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?

Add Emergency Contact

(Legal name)

First Name (Required)

Middle Name

Last Name (Required)

Birthday (Required)

Gender

SSN

Race

Hispanic

English Proficiency

Other Language

Doctor/Medical Home

Dentist/Dental Home

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)

Location Preference

1st Location Preference

2nd Location Preference

3rd 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

Please click "submit" to finalize your application. We will contact you within 10 business days to set up an enrollment interview. Please plan on at least 20 minutes. Make sure to gather and bring with you: * Proof of your family's current income or preceding calendar year taxes * Proof of your child's date of birth. (Examples: birth certificate, crib card, baptismal record, or hospital birth record.) * Proof of your child's immunizations (if you have access to them).

Required information is missing, see above.

Parent/Guardian

Address

Additional Parent/Guardian

Other Adults

Family Information

Emergency Contacts

Child (Applicant)

Location Preferences

Additional Applicant

Siblings