Apply Online

Thank you for your interest in Save the Children Head Start/ Early Head Start for Jeff Davis Parish- Jennings and Elton. Please complete the required information below including the location preference. Once your application has been received, one of our Family Service Coordinator's will contact you to schedule an interview. Completing the online application starts the application process but does not enroll your child into the local Head Start/Early Head Start program.

Please follow instructions to complete the application.

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 follow instructions to complete the application.

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 follow instructions to complete the application.

Is there another parent/guardian in the family?

First Name (Required)

Middle Name

Last Name (Required)

Birthday (Required)

Gender

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

Child's Relationship

Please follow instructions to complete the application.

Number of Parents/Guardians

Relationship to Participant(s)

Primary Language at Home

Number in Family

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

Please follow instructions to complete the application.

First Name (Required)

Last Name (Required)

Birthday (Required)

Gender

Race

English Proficiency

Primary Health Coverage

Doctor/Medical Home

Dental Coverage

Dentist/Dental Home

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

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

Application Interviews will be set by our Family Service Coordinators. The following documents are needed during Intake, Please see below: Age Determination, Medical Card, Immunization Record, Proof of Residency and Proof of Income.

Required information is missing, see above.

Parent/Guardian

Address

Additional Parent/Guardian

Family Information

Child (Applicant)

Location Preferences

Additional Applicant