Apply Online

Thank you for applying to Spokane Head Start/ECEAP/Early Head Start
Please complete all fields in the form below.

If you are a pregnant mother who would like to apply for our home visiting program, please call (509) 279-6901.

If you get a message saying that it appears that you have previously submitted an application, please call the location you want to apply to (list of locations and phone numbers here: https://ccs.spokane.edu/Head-Start/Locations) or call our main office at (509) 533-4800.

First Name (Required)

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

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

Highest Grade Completed

Employment Status

Child's Relationship

Please make sure you enter the address where you receive your mail.

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.

Select "Yes" and complete this section if a second parent or guardian is residing in the home.

Is there another parent/guardian in the family?

First Name (Required)

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

Highest Grade Completed

Employment Status

Child's Relationship

Number of Parents/Guardians

Relationship to Participant(s)

Primary Language at Home

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?

Please complete this information for the child applying for enrollment in Head Start, ECEAP, or Early Head Start. Complete all fields relevant to your child.
*Note - If you are a pregnant mother who would like to apply for our home visiting program, please call (509) 279-6901.

NOTE - Use the last box to tell us any other information you'd like us to know about your child, including:

Does your child have an IEP/IFSP?
Does your family have an open CPS case?
Is the child currently in foster or kinship care?
How did you learn about Head Start/ECEAP/Early Head Start?

First Name (Required)

Middle Name

Last Name (Required)

Suffix

Birthday (Required)

Gender

Race

Hispanic

English Proficiency

Other Language

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

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

After submitting your application, you will be given the opportunity to upload documents (income documentations, immunizations record, legal documents, etc.) that will help expedite your enrollment. You will also receive an email detailing the next steps (please check your junk mail folder).

Required information is missing, see above.

Parent/Guardian

Address

Additional Parent/Guardian

Family Information

Child (Applicant)

Location Preferences

Additional Applicant