Apply Online

Welcome to Lancaster Head Start/Early Head Start Online Application!

Thank you for your interest in the Lancaster Head Start/Early Head Start program. Please read all directions and questions carefully to complete Step 1 of the application process. You MUST reside in Lancaster County to apply for the Head Start and Early Head Start programs at Southside Early Childhood Center. Applications will not be accepted if you reside in another County.

***Please note, if you have previously applied (in person or online), you will receive an email informing you that you have an application on file. If you have applied with an older child please click on this form and a staff member will reach out to you regarding your application. ***

Please complete the information below about the primary adult in your family (dad, mom, or care-giver/guardian).

First Name (Required)

Middle Name

Last Name (Required)

Birthday (Required)

Gender

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 (Required)

Opt In for Text Messages

Home Phone (Required)

Work Phone (Required)

Ext.

It appears that you have previously submitted an application. If you wish to apply again, please contact us by phone or in person.

Race (Required)

Hispanic (Required)

English Proficiency

Other Language

Other Language Proficiency (Required)

Highest Grade Completed

Employment Status

Child's Relationship

Custody

Lives with Family

Provides Financial Support

Teen Parent

Please uncheck the box below if your mailing address if different from your living address.

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.

Mailing Address same as Living Address

Mailing Address

Address Line 2

City

State

ZIP

Please complete the information below about the secondary adult in your family (dad, mom, or care-giver/guardian).

Is there another parent/guardian in the family?

First Name (Required)

Middle Name

Last Name (Required)

Birthday (Required)

Gender

Email Address

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.

Race

Hispanic

English Proficiency

Other Language

Other Language Proficiency

Highest Grade Completed

Employment Status

Child's Relationship

Custody

Lives with Family

Provides Financial Support

Are there other adults in the household?

Add Another Adult

Head Start defines "family" as all persons living in the same household who are supported by the child’s parent/guardian income; and are related to the child’s parent/guardian by blood, marriage, or adoption; or are the child’s authorized caregiver or legally responsible party.

Number of Parents/Guardians

Relationship to Participant(s)

Primary Language at Home (Required)

Number in Household

Number in Family

Gross Annual Income

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 from WIC?

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

Is at least one parent/guardian an active duty member of the United States military?

Is at least one parent/guardian a veteran of the United States military?

Add Emergency Contact

Please complete the information below about the child that you are applying for.

First Name (Required)

Middle Name

Last Name (Required)

Suffix

Nickname

Birthday (Required)

Gender

Race (Required)

Hispanic (Required)

English Proficiency

Other Language

Other Language Proficiency

Primary Health Coverage

Insurance Number

Medicaid Eligibility

Medicaid Number

Doctor/Medical Home (Required)

Does your child have a disability or do you have any concerns about your child's development? (Required)

Is there anything else you want to tell us about your child?

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

Are there other children in the family?

Add a Sibling

Thank you for submitting your application for the Lancaster Head Start/Early Head Start.
What happens next after you submit your online application?
***NOTE: In-person interview is required by Head Start (your application will not be processed or complete until it is done).***
1. A staff member will reach out to you via phone, text, or email to schedule your intake/interview process.
2. Please email the required documents to the appropriate ERSEA Specialist (if needed):
-Head Start: KeeKee Truesdale- KeeKee.Truesdale@lcsd.k12.sc.us
-Early Head Start: Melissa Jenkins- Melissa.Jenkins@lcsd.k12.sc.us.
***Please ignore if you have uploaded your documents when submitting your online application.

Things to Remember:
1. Please be sure to call SECC if your contact information has changed.
2. Completing the application does NOT guarantee your child a slot. All applications for entrance into the program must go through a selection process which helps to serve those children and families throughout Lancaster County most in need of our services.
3. If you have any questions or concerns, please contact SECC Monday-Friday during normal business hours, 7:30 am - 3:30 pm.

Required information is missing, see above.

Parent/Guardian

Address

Additional Parent/Guardian

Other Adults

Family Information

Emergency Contacts

Child (Applicant)

Location Preferences

Additional Applicant

Siblings