Welcome to Jackson County Civic Action's online application portal!

New Household Applicants Only! If you currently or in the past have had a child enrolled in the program you will need to come to our Central Office to have your child’s application processed!

This is the first step in the process to qualify your child for Head Start or Early Head Start.

Income and age verification will determine your child's eligibility for acceptance and enrollment. We also serve pregnant moms!

Please complete all fields of this form and our staff will get back to you shortly with more information. Once the application has been initiated it must be completed and submitted! The application will not save!

Primary Adult

Primary Adult is the individual related to the child applicant by blood or marriage; it may also be the legal guardian or social worker who presents legal documents verifying their status.

Permanent Living Address/ Mailing Address (Optional)

Living address is where the family resides (must be within the boundaries of Jackson County). Mailing address is where the family wants their mail to be sent.

Click here to find a provider in your area.
Secondary Adult

Secondary Adult is the other adult family member related to the child applicant by blood or marriage and provides support to the family.

Are there other adults in the household?

Add Another Adult
Family

Family is defined as "all persons living in the same household who are supported by the child's parent(s)' or guardian(s)' by blood, marriage, or adoption; or the child's authorized care giver or legally responsible individual.

Participant

Child (Applicant) is the infant, toddler or child (excluding an unborn child) for whom this application is being processed.

- 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
Once your application has been submitted, you will receive an email confirmation along with instructions and what to expect.
Required information is missing, see above.