Please complete this form to begin the Head Start application process. Filling out this form does not guarantee enrollment in our program. The process can take about 15 minutes to complete. The following information is needed: names and birth dates of all family members and yearly gross income amount. (Gross income is how much you make prior to taxes). If you do not have this information, call us to at 1-800-221-2221 ext. 236 to request an appointment with one of our family services staff members. *** If you have a child currently enrolled in either the Early Head Start or Head Start program, or have applied to our program within the last three (3) years for any of your children, please call our office at 1-800-221-2221 ext. 236. Thank you for your interest.
Click here to find a provider in your area.
- 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
Click to submit the form. We will contact you to obtain the required documentation. Thank you for your interest in our program.
Required information is missing, see above.