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FNA Head Start 0-5 is a family centered program dedicated to a quality school readiness learning opportunity for pregnant women and students ages 0-5 years old.

Enrollment into Fairbanks Native Association 0-5 Head Start Program is ongoing, but eligibility depends on; income level, parental status and family considerations. Please submit completed application with the following documents:

•Proof of Age
•Proof of Tribal Enrollment (if applicable)
•Foster Care Documentation

•Public Assistance Documentation OR
•Proof of Income
•IFSP / IEP or Health Plan (If applicable)

•If Parent is a student, please provide proof of registration (Current School Year)

If you have any questions please do not hesitate to contact us at 907-451-8814 Ext. 6522 or via email: enrollment@fairbanksnative.org

Parent/Guardian

Please answer questions about education, employment and income based on the date of the application. For teen parents, only enter "Yes" if 19 years of younger on the date of application.

First Name (Required)

Last Name (Required)

Birthday (Required)

Gender (Required)

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.

Race (Required)

Hispanic (Required)

English Proficiency (Required)

Other Language

Other Language Proficiency

Highest Grade Completed (Required)

Employment Status (Required)

Child's Relationship (Required)

Custody (Required)

Lives with Family (Required)

Provides Financial Support (Required)

Teen Parent (Required)

Address

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

Additional Parent/Guardian

Only complete this section if the Secondary Adult is currently living in the home, being supported by the same income and related by blood, marriage or adoption.

Is there another parent/guardian in the family?

First Name (Required)

Last Name (Required)

Birthday (Required)

Gender (Required)

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.

Race (Required)

Hispanic (Required)

English Proficiency (Required)

Other Language

Other Language Proficiency

Highest Grade Completed (Required)

Employment Status (Required)

Child's Relationship (Required)

Custody (Required)

Lives with Family (Required)

Provides Financial Support (Required)

Teen Parent (Required)

Family Information

For ASAP, TANF, SSI, WIC or SNAP only answer "Yes" if you are currently receiving those benefits. Eligibility letters or government issued documentation will be requested.

Number of Parents/Guardians (Required)

Relationship to Participant(s) (Required)

Primary Language at Home (Required)

Is another language being acquired or learned at home? (Required)

Number in Household (Required)

Number in Family (Required)

Is your family receiving cash benefits or other services under the Temporary Assistance for Needy Families (TANF) program? (Required)

Is your family receiving Supplemental Security Income (SSI)? (Required)

Is your family receiving services from WIC? (Required)

Is your family receiving services under the Supplemental Nutrition Assistance Program (SNAP), formerly referred to as Food Stamps? (Required)

Is at least one parent/guardian an active duty member of the United States military? (Required)

Is at least one parent/guardian a veteran of the United States military? (Required)

Child (Applicant)

If your child has an IFSP or IEP in place, please place the diagnosis along with services begin and end dates in the notes section below.

First Name (Required)

Last Name (Required)

Nickname

Birthday (Required)

Gender (Required)

Race (Required)

Hispanic (Required)

English Proficiency (Required)

Other Language

Other Language Proficiency

Primary Health Coverage (Required)

Other Coverage

Medicaid Eligibility (Required)

Doctor/Medical Home

Dental Coverage

Dentist/Dental Home

Does your child have a disability or do you have any concerns about your child's development? (Required)

Is there anything else you want to tell us about your child?

Location Preferences

Which program are you applying for? (Required)

Preschool SY 2023-2024

Children ages 3-5 year olds

Early Head Start SY 2024-2025

Prenatal services & children up to the age of 3

Preschool SY 2024-2025

Children ages 3-5 year olds

Early Head Start SY 2023-2024

Prenatal services & children up to the age of 3

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.

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 applying to see if you qualify for Fairbanks Native Association Head Start 0-5 Program.

After you click the “Submit Application” button below, you will receive an email confirming that your application has been received. A staff member will contact you after submission of online application. Your selected Program can be changed at a later date, if needed.

We appreciate your interest in joining the program and look forward to speaking with you!

Required information is missing, see above.