Thank you for beginning the application process for the Early Head Start program. We offer two program options. Our home-based program provides services to pregnant mothers and children birth to 36-months-old and their families. Our child care partnership program at Excel 9 offers services for children 6-weeks to 36-months-old and their families. Please note, you cannot start the application and return to complete it later. Responses will not be saved. Please allow yourself at least 15 minutes to complete the application. All required supporting documents can be uploaded at the end of the application. The application is not complete without supporting documents and in person interview. A list of required supporting documents can be found at https://www.oneplaceonslow.org/for-parents-and-early-educators/infant-toddler-programs/
Primary adult is the child's parent (s) or guardian(s) by blood, marriage, or adoption; authorized care-giver or legally responsible party.
Please type the address where your child lives.
Click here to find a provider in your area.
The additional parent is the child's parent (s) or guardian(s) by blood, marriage, or adoption; authorized care-giver or legally responsible party. Only list the additional parent if they live in the home with the child.

Are there other adults in the household?

Add Another Adult
Family means all persons living in the same household who are supported by you, the parent(s), guardian(s) or care-giver. An emergency contact is a local family member, friend or neighbor we may contact in case of emergency or we are unable to contact you using your the phone number or email on your application.
Tell us about your child "applicant" you are applying for Early Head Start Services. The Early Head Start program is for children under the age of 36 months (3 years old).
- 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
By submitting this application I certify that this information is true. If any part is false, my participation in this agency's programs may be terminated and I may be subject to legal action. I also understand that the information in this application will be held in strict confidence within the agency and is accessible to me during normal business hours. When you complete the online application for the Early Head Start, your child(ren) will be enrolled in the Dolly Parton Imagination Library program. Each month, your child(ren) will receive a book until their 5th birthday at no cost to your family. The email address provided on the application will receive notification.
Required information is missing, see above.