Please fill out as much information as possible. An enrollment specialist will contact you to complete your application and give information about our program.
Parent/Guardian
First Name (Required)
Last Name (Required)
Birthday (Required)
Gender
Female
Male
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.
English Proficiency
Little
Moderate
None
Proficient
Other Language
Acholi
Albanian
Amarinya
American Sign Language
Amharic
Arabic
Bangla
Bantu
Bari
Bosnian
Bulgarian
Burmese
Burundi
Cambodian
Cantonese
Chinese
Chuukese
Creole
Danish
Dari
English
Farsi
French
German
Gola
Greek
Hawaiian
Hindi
Icelandic
Igbo
Italian
Japanese
Karen
Karenni
Kinyarwanda
Kirundi
Kirundi
Kiswahili
Kizigua
Korean
Krahn
Kunama
Kurdish
Kurdish
Lao
Lingala
Mai-Mai
Marshallese
Nepali
Pashto
Persian
Polish
Portuguese
Rohingya
Romanian
Russian
Sango
Sign Language
Somali
Spanish
Spanish
Sudanese
Swahili
Telugu
Thai
Tigrinya
Turkish
Ukrainian
Urdu
Uzbek
Vietnamese
Yoruba
Other Language Proficiency
Little
Moderate
None
Proficient
Address
Is your family experiencing homelessness?
Yes
No
Living Address (Required)
Address Line 2
City (Required)
State (Required)
ZIP (Required)
Click here
to find a provider in your area.
Family Information
Number of Parents/Guardians
One Parent Family
Two Parent Family
Relationship to Participant(s)
Foster parent(s) not including relatives
Grandparent(s)
Other
Parent(s) (e.g. biological, adoptive, stepparents)
Relative(s) other than grandparents
Primary Language at Home
Acholi
Albanian
Amarinya
American Sign Language
Amharic
Arabic
Bangla
Bantu
Bari
Bosnian
Bulgarian
Burmese
Burundi
Cambodian
Cantonese
Chinese
Chuukese
Creole
Danish
Dari
English
Farsi
French
German
Gola
Greek
Hawaiian
Hindi
Icelandic
Igbo
Italian
Japanese
Karen
Karenni
Kinyarwanda
Kirundi
Kirundi
Kiswahili
Kizigua
Korean
Krahn
Kunama
Kurdish
Kurdish
Lao
Lingala
Mai-Mai
Marshallese
Nepali
Pashto
Persian
Polish
Portuguese
Rohingya
Romanian
Russian
Sango
Sign Language
Somali
Spanish
Spanish
Sudanese
Swahili
Telugu
Thai
Tigrinya
Turkish
Ukrainian
Urdu
Uzbek
Vietnamese
Yoruba
Child (Applicant)
First Name (Required)
Middle Name
Last Name (Required)
Birthday (Required)
Gender
Female
Male
Location Preferences
Which program are you applying for? (Required)
2025-2026 School Year
No Cost Preschool for Children 3 to 5
Early Head Start Home Based Services
No Cost Home Visiting for Pregnant Moms and Children up to 3
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
Thank for filling out the pre-application for Friends of Children and Families Early Head Start and Head Start program! An enrollment specialist will be contacting you soon.
Required information is missing, see above.