Welcome to our Early Childhood Application Process. Onslow County offers Early Childhood Program options, ranging from Birth- Four years of age to include: Early Head Start, Head Start, Three School, Title 1, and NCPK. Since the success of your child is our priority, the Onslow County Early Childhood Program staff is striving to provide this time for you to begin the application process independently using our online platform and finalizing the process with the support of a early childhood staff member via phone. Please allow yourself 30 minutes to complete the application in its entirety, as you will not have an opportunity to return to an application or save any responses. By completing an online application for our Early Childhood Programs all children in your home will be enrolled in the Dolly Parton Imagination Library program. Each month enrolled children will receive a book, until their 5th birthday, at no cost to your family. You will have an opportunity to upload all supporting documents into our secure database at the end of this portion of the application. A list of required supporting documents can be found at: https://www.oneplaceonslow.org/for-parents-and-early-educators/infant-toddler-programs/
Parent/Guardian
Primary adult is the child's parent or guardian by blood, marriage, or adoption. Please name the adult that is the legal guardian and who is financially responsible for the child.
First Name (Required)
Middle Name
Last Name (Required)
Suffix
Nickname
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
Hispanic/Latino
Multi-racial/Biracial
Native Hawaiian/Other Pacific Islander
Other
Unspecified
White
Hispanic
Yes
No
English Proficiency
Little
Moderate
None
Proficient
Other Language
American Sign Language
Arabic
Chinese
English
French
Italian
Japanese
Pacific Islander
Russian
Spanish
Tagalog
Turkish
TWI
Vietnamese
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 (35 hours/week or more)
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
Lives with Family
Yes
No
Provides Financial Support
Yes
No
Teen Parent
Yes
No
Address
Please type the address where your child lives.
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
The secondary parent is the child's parent or guardian by blood, marriage, or adoption; authorized care-giver or legally responsible party. Only list the secondary parent if they live in the home with the child.
Is there another parent/guardian in the family?
Yes
No
First Name (Required)
Middle Name
Last Name (Required)
Suffix
Nickname
Birthday (Required)
Gender
Female
Male
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
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
Hispanic/Latino
Multi-racial/Biracial
Native Hawaiian/Other Pacific Islander
Other
Unspecified
White
Hispanic
Yes
No
English Proficiency
Little
Moderate
None
Proficient
Other Language
American Sign Language
Arabic
Chinese
English
French
Italian
Japanese
Pacific Islander
Russian
Spanish
Tagalog
Turkish
TWI
Vietnamese
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 (35 hours/week or more)
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
Lives with Family
Yes
No
Provides Financial Support
Yes
No
Teen Parent
Yes
No
Family Information
Family means all persons living in the same household who are supported by you, the parent, guardian, or care-giver. An emergency contact is a local family member, friend, or neighbor we may contact in case of emergency or if we are unable to contact you at the phone number or email provided on your application.
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
American Sign Language
Arabic
Chinese
English
French
Italian
Japanese
Pacific Islander
Russian
Spanish
Tagalog
Turkish
TWI
Vietnamese
Is another language being acquired or learned at home?
Yes
No
Number in Household
Number in Family
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
Is at least one parent/guardian an active duty member of the United States military?
Yes
No
Is at least one parent/guardian a veteran of the United States military?
Yes
No
Emergency Contacts
Add Emergency Contact
Child (Applicant)
Provide information for the child for which you are submitting an application for.
First Name (Required)
Middle Name
Last Name (Required)
Suffix
Nickname
Birthday (Required)
Gender
Female
Male
Race
American Indian or Alaska Native
Asian
Black or African American
Hispanic/Latino
Multi-racial/Biracial
Native Hawaiian/Other Pacific Islander
Other
Unspecified
White
Hispanic
Yes
No
English Proficiency
Little
Moderate
None
Proficient
Other Language
American Sign Language
Arabic
Chinese
English
French
Italian
Japanese
Pacific Islander
Russian
Spanish
Tagalog
Turkish
TWI
Vietnamese
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
Medicaid Eligibility
Not Eligible
On Medicaid
Potentially Eligible
Doctor/Medical Home
Carolina Pediatrics of Wilmingto
CarolinaEast Ear, Nose & Throat
CarolinaEast Physicians
Carteret Clinic Adol-Children
Clinic for Special Children
Coastal Carolina Ped
Coastal Children's Clinic
Coastline Family Medicine
Dockside Pediatrics
Goshen Medical
Jacksonville Childrens (JCMC)
JCMC Cape Carteret
JCMC Richlands
JCMC Sneads Ferry
JCMC Swansboro
Kids Rule Pediatrics
Kidzcare Pediatric
Kinston Pediatric
Med First Primary & Urgent Care
Naval Dental
Naval Hospital
New Hanover Regional Medical
Novant Health Coastal OB-GYN
Novant Health Glen Meade
Oceanside Pediatrics PA
Office Park Eye Center
Onslow County Health Department
Onslow ENT/Dr. Sandoval
Onslow Internal Medicine & Prim
Onslow Memorial Hospital
Onslow Pediatric Associates
Seaside Pedictrics
Star Medical Clinic
Wilmington ENT
Wilmington Health Family Medicin
Womens Healthcare Associates
Dental Coverage
Children's Health Insurance Program (CHIP)
Combined Medicaid/CHIP
Medicaid
No Insurance
Other
Private Health Insurance
State-Only Funded Insurance
Dentist/Dental Home
Aspen Dental
Complete Dental Care
Dynamic Dental
Eastern Carolina Dental
Family Comp&Cosmetic Dentistry
Family Dental Care
Gilliam Dentistry
Hunter C Joh PA
Karen Armstrong General Dentist
Lane & Associates Family Dentist
Maysville Family Dentistry
Morgan Famly Dentistry
Naval Dental
North Shore Family Dentistry
Parker Dental
Pierpan Dentistry
Signature Smiles
Smith Family and Cosmetic Den
Swansboro Family Dentistry
White And Johnson Dentistry
Wilmington Kids Dentist
Is there anything else you want to tell us about your child?
Location Preferences
Which program are you applying for? (Required)
2023-2024 Early Childhood Programs
No Cost Programs for Children from Birth to 5 Years Old
1st Location Preference
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2nd 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
Thank you for completing the first steps in applying for our Early Childhood Program. Your information has been received in our online database and a team member will be in contact with you to complete the second portion of the application process. If you have not received a response after 30 business days of applying, please feel free to contact a member of our Early Childhood Department via email to assist you. You will receive an email instructing you to complete an online developmental screening for the child you are applying for. Please complete the developmental screening within 5 business days to assist with collecting needed information for your child's application. Early Head Start (Birth-Three Year Olds): Caron Schienle - caron.schienle@oneplaceonslow.org Three School and NCPK (Three and Four Year Olds) Cassie Minerva- cassie.minerva@oneplaceonslow.org
Required information is missing, see above.