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RETURNING PARENTS/FAMILIES: If you have had a child in our program before, or if you have already filled out this form in previous months, please DO NOT fill this pre-registration. Call your nearest center to make an appointment with our staff. They will assist you to do the application by phone. For contact information, please visit: https://www.ndo.org/web/hs.html

NEW PARENTS/FAMILIES: Please read carefully and complete each field. When asked for a location preference, please only select the center located in your county of residence. Center staff will contact you soon to set up a phone interview. You or a household member (or someone authorized to complete the application for your household) must be interviewed by our Family Partner. The individual who is interviewed must know about your household situation. The interview is an official and confidential discussion of the household’s circumstances.

Choose the program by age:

• Early Head Start (under 6 week - 3 year old program)

• Head Start/Pre-K (3 year - 4 year old program)

PLEASE NOTE: THIS IS A PRE-REGISTRATION. Completion of this DOES NOT guarantee that your child has been accepted, selected, or that they will be given a slot.

Thank you for taking the time to begin the application process!

Only complete this section if the Primary Adult is currently living in the same home as the child.

First Name (Required)

Last Name (Required)

Birthday (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.

Employment Status

Child's Relationship

Custody

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.

Number of Parents/Guardians

Relationship to Participant(s)

Primary Language at Home

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

Is your family receiving Supplemental Security Income (SSI)?

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

First Name (Required)

Last Name (Required)

Birthday (Required)

Gender

Which program are you applying for? (Required)

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.

Do you want to apply now for another child in your family?

Add Another Applicant

Thank you for your interest in Ninth District Opportunity Early Head Start and Head Start/Pre-K program. Please click submit to finalize your pre-registration application. We will contact you as soon as possible to give you more information about the application process.

PLEASE NOTE: Until you have been contacted, an interview has been set up, and you have been given formal notice that your child has been accepted, this pre-registration DOES NOT guarantee that your child has been accepted, selected, given a slot, or that they will be given a slot.

When you click "Save and Continue", you will be brought to a page that allows you to upload documents if you would like to do so at this time. To complete the application, we will need:

Proof of Age:
• Proof of Age (passport, birth certificate, birth records, etc.)

Proof of Eligibility (one of the following needs to be provided):

• Proof of Income (1040, W2, employer statement, self-employment statement)

• Current SSI (Supplemental Security Income) Documentation

• Current TANF (Temporary Assistance for Needy Families) Documentation

• Current SNAP/Food Stamps Documentation

• Current Foster Care Documentation (Placement Letter, Court Order, etc.)

If applicable, you can also upload:

• Child Support Statement

• Proof of Disabilities (IEP/IFSP)

• Referrals (letter from Special Education Department-School District, DFCS, BCW, etc.)

• Child Custody Documentation (court documentation)

Required information is missing, see above.

Parent/Guardian

Address

Family Information

Child (Applicant)

Location Preferences

Additional Applicant