Thank you for your interest in the Head Start Program. As you begin the application, please ensure that all fields are complete with information requested.
Parent/Guardian
First Name (Required)
Last Name (Required)
Birthday (Required)
Gender
Female
Male
Non-Binary
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.
Address
Is your family experiencing homelessness?
Yes
No
Living Address (Required)
Address Line 2
City (Required)
State (Required)
ZIP (Required)
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to find a provider in your area.
Mailing Address same as Living Address
Mailing Address
Address Line 2
City
State
ZIP
Child (Applicant)
First Name (Required)
Last Name (Required)
Suffix
Birthday (Required)
Gender
Female
Male
Non-Binary
Location Preferences
Which program are you applying for? (Required)
2023 - 2024 D70
2023-2024 Trinidad
2023 - 2024 Walsenburg
2023 - 2024 D60
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
Thank you for completing an on-line application for your child to be considered for the Head Start Program. A Family Advocate will be in contact with you to provide you with more information about the program and answer any further questions you might have.
Required information is missing, see above.