Thank you for your interest in Bear River Head Start Programs. This application form is for NEW families. If you have had a child in our Head Start Program in the past or you have applied in previous years, please call the ERSEA office at 435-755-0081 Ext 321 or Ext 322. You can also access a paper application at this website: *Please fill out the application completely. *Make sure to use correct spelling of names as shown on official documents. *The more information we have the quicker your application process will be. Ex: including income and birth documents *If you were working with a staff member with applying, please include their name in the notes section available.
***Please provide a phone number that is able to receive text messages and/or an email address.***
Experiencing Homelessness Question: Please mark YES if any of the following apply to your family situation. *Do you currently share a residence? *Live in a shelter, motel/hotel, car, park, or campground? * Is your living arrangement temporary? * Are any of these due to loss of housing or inability to afford housing?
Click here to find a provider in your area.

Are there other adults in the household?

Add Another Adult
In the notes section at the bottom of this page, under the question "Is there anything else you want to tell us about your child?" please answer these two questions: Does your child have health concerns the program should be aware of? Y/N If yes, please explain. Does your child have special dietary needs? Y/N If yes, please explain.
- Your Address - Available Locations
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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
Thank you for completing the pre-application. Someone from our office will contact you to set up an intake appointment. Please click submit to finalize your pre-application.
Required information is missing, see above.