Parent/Caregiver, you are about to begin the 1st step in enrolling your child in one of our PSFC programs. Please answer all questions and leave NO blanks in the application as this may slow your enrollment process. You must list everyone living in household and all income for everyone living in household. • If you are enrolling a child between the ages of 6 weeks and up to their 3rd birthday you must complete the Infant Toddler Application • If you are enrolling a child between the ages of 3 years and up to their 5th birthday you must complete the Head Start/PreK Application • If you are enrolling a child between the age of 5 year and up to their 12th birthday you must complete the School Age Application Si necesitas ayuda completando esta aplicacion por problema de lenguaje favor de llamar a la oficina mas cercana a usted para assistencia. If you need assistance completing this application process, please call the main office number (570) 421-2676
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Are there other adults in the household?

Add Another Adult
- Your Address - Available Locations
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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 completing this step in the enrollment process. The next step will be to send in a current copy of all income stated in application for all family members. This can be in the form of a paycheck, employer letter, child support, TANF, SSI, SSD, foster care, homelessness. Also, if there is a child custody issue you will need to send in the court and/or agency documentation as well. You can send this information by fax to (570) 421-0247, or send a legible copy by email to, placing the word enrollment in subject , or place a legible copy in our PSFC Enrollment Drop Box located in the front of the building closest to your location. We must receive these documents within 8 days of application to move forward to the next step in the process. If we do not receive the needed paperwork your application will be incomplete and unable to be processed. If you need assistance, please contact the Main office number (570) 421-2676
Required information is missing, see above.