Welcome to the City of San Antonio Early Head Start-Child Care Partnership on-line application!
You and your child are very important and we want to make your application process as simple as possible. If you experience any issues with the application process, please call 210-206-5500.
Our Vision: "For every child and every family the best Head Start services every day"
Our Mission: "Preparing children and engaging families for school readiness and life-long success"
Parent/Guardian
Please complete the following information for the Primary 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.
Race
American Indian or Alaska Native
Asian
Black or African American
Multi-racial/Biracial
Native Hawaiian/Other Pacific Islander
Other
Unspecified
White
Hispanic
Yes
No
English Proficiency
Little
Moderate
None
Proficient
Child's Relationship
Biological/Adopted/Step
Foster
Grandchild
Other
Other Relative
Custody
Yes
No
Address
Are you living at a temporary address? Are you in a home with a friend/relative due to loss of housing? (for example eviction, unemployment, fire, domestic violence, utilities disconnected, etc.) Are you in a shelter, transitional housing, motel, car, campsite, moving place to place, child protective services safety plan?
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.
Mailing Address same as Living Address
Mailing Address
Address Line 2
City
State
ZIP
Additional Parent/Guardian
Please complete the following information for the Secondary Parent/Guardian if applicable.
Is there another parent/guardian in the family?
Yes
No
First Name (Required)
Last Name (Required)
Birthday (Required)
Gender
Female
Male
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
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.
Race
American Indian or Alaska Native
Asian
Black or African American
Multi-racial/Biracial
Native Hawaiian/Other Pacific Islander
Other
Unspecified
White
Hispanic
Yes
No
English Proficiency
Little
Moderate
None
Proficient
Other Language
American Sign Language
Anharic
Arabic
Bengali
Burmese
Chinese
Chuukese
Dari
English
Farsi
French
Gujrati
Italian
Japanese
Karenai
Other
Pashtu
Philipino
Russian
Sign Language
Spanish
Swahili
Thai
Tigringa
Turkish
Ukranian
Vengali
Vietnamese
Child's Relationship
Biological/Adopted/Step
Foster
Grandchild
Other
Other Relative
Custody
Yes
No
Family Information
Please tell us about your family.
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
American Sign Language
Anharic
Arabic
Bengali
Burmese
Chinese
Chuukese
Dari
English
Farsi
French
Gujrati
Italian
Japanese
Karenai
Other
Pashtu
Philipino
Russian
Sign Language
Spanish
Swahili
Thai
Tigringa
Turkish
Ukranian
Vengali
Vietnamese
Number in Family
Gross Annual Income
Is your family receiving cash benefits or other services under the Temporary Assistance for Needy Families (TANF) program?
Yes
No
Is your family receiving Supplemental Security Income (SSI)?
Yes
No
Is your family receiving services from WIC?
Yes
No
WIC ID (if applicable)
Is your family receiving services under the Supplemental Nutrition Assistance Program (SNAP), formerly referred to as Food Stamps?
Yes
No
Emergency Contacts
Add Emergency Contact
Child (Applicant)
Our Early Head Start-Child Care Partnership Program serves children from 6 weeks to 3 years of age. You will need to provide proof of age for each child applying for services.
First Name (Required)
Middle Name
Last Name (Required)
Suffix
Nickname
Birthday (Required)
Gender
Female
Male
Race
American Indian or Alaska Native
Asian
Black or African American
Multi-racial/Biracial
Native Hawaiian/Other Pacific Islander
Other
Unspecified
White
Hispanic
Yes
No
English Proficiency
Little
Moderate
None
Proficient
Other Language
American Sign Language
Anharic
Arabic
Bengali
Burmese
Chinese
Chuukese
Dari
English
Farsi
French
Gujrati
Italian
Japanese
Karenai
Other
Pashtu
Philipino
Russian
Sign Language
Spanish
Swahili
Thai
Tigringa
Turkish
Ukranian
Vengali
Vietnamese
Does your child have a disability or do you have any concerns about your child's development?
Yes
No
Is there anything else you want to tell us about your child?
Location Preferences
Which program are you applying for? (Required)
Early Head Start
Child Care for Infant and toddlers 6 weeks to 3 years old
Early Head Start
Child Care for Infant and toddlers 6 weeks to 3 years old
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
Siblings
Are there other children in the family?
Add a Sibling
Thank you for your interest in the Early Head Start-Child Care Partnership Program! You will be contacted by a Family Support Worker to schedule an appointment! If you need further assistance, please contact us at 210-206-5500.
Required information is missing, see above.