Intake Form

Please complete this intake form to begin the Head Start and/or Early Head Start application process in cities/areas served by Volunteers of America LA County. Our service areas are listed below. Even if you live outside our service area, but reside or work nearby to one of our sites we may still be able to help you.

Head Start (3 to 5 year olds)

  • North Hollywood, Tujunga, Shadow Hills, Studio City, Sun Valley, Valley Village
  • East Los Angeles, Commerce
  • Carson, El Segundo, Harbor City, Hawthorne, Lomita, San Pedro, Torrance, Wilmington, Rancho Palos Verdes
  • Culver City, Del Rey, Mar Vista, Palms
  • A small portion of Historic South Central Los Angeles (NW: Jefferson & Maple; NE: Jefferson & Avalon; SE: Avalon & Vernon; SW: Vernon & Main)

Early Head Start / Pre-Natal (children under 3, and pregnant women)

  • North Hollywood (91601, 91602, 91605, 91606); Shadow Hills (91040); Studio City (91607); Sun Valley (91352); Sunland (91040); Tujunga (91042); Valley Village (91607)
  • Carson (90745); Harbor City (90710); Hawthorne (90250); Lennox (90304); Lomita (90717); Rancho Palos Verdes (90275); San Pedro (90731, 90732)

Once you submit your completed intake form, a Head Start enrollment team member will contact you within 5 business days to continue the enrollment process.

The information provided will not be shown/transmitted to any other person/agency without the consent of the parents/guardians of the child.

Click here to find a provider in your area.

Are there other adults in the household?

Add Another Adult
Gross Annual Income - Family's annual income before taxes and other deductions
- 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
Thank you for your interest in Volunteers of America's Head Start program. Please click Submit Application to finalize your intake. We will contact you to set up an appointment.
Note that completing this intake does not guarantee enrollment.

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