Apply Online

Welcome to the Episcopal Children's Services Head Start / Early Head Start on-line application.

Head Start/Early Head Start is available in Baker, Bradford, Clay, Nassau, Duval, Alachua, Dixie, Gilchrist, Levy, Marion, Citrus, and Lake Counties. You must live in the county you are applying for to receive services.

(If you have already submitted an application in person, please do not submit an online 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

Custody

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

Relationship to Participant(s)

Primary Language at Home

First Name (Required)

Last Name (Required)

Birthday (Required)

Gender

Race

Hispanic

Primary Health Coverage

Doctor/Medical Home

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

Prior to selecting submit below, please ensure you have provided at least one active phone number or email we may use to contact you.

Once the application is submitted, an email will be generated to the Parent\Guardian to confirm that the application was received.

A Family Advocate will contact you within 3 to 5 business days to schedule an intake appointment and share what documents need to be brought to the appointment.

If you are having difficulty submitting this form or would like to contact a specific head start location, please click on the following link to see contact information: ECS Location

Required information is missing, see above.

Welcome to the Episcopal Children's Services Head Start / Early Head Start on-line application.

Head Start/Early Head Start is available in Baker, Bradford, Clay, Nassau, Duval, Alachua, Dixie, Gilchrist, Levy, Marion, Citrus, and Lake Counties. You must live in the county you are applying for to receive services.

(If you have already submitted an application in person, please do not submit an online application.)

Parent/Guardian

Address

Family Information

Child (Applicant)

Location Preferences

Additional Applicant

Prior to selecting submit below, please ensure you have provided at least one active phone number or email we may use to contact you.

Once the application is submitted, an email will be generated to the Parent\Guardian to confirm that the application was received.

A Family Advocate will contact you within 3 to 5 business days to schedule an intake appointment and share what documents need to be brought to the appointment.

If you are having difficulty submitting this form or would like to contact a specific head start location, please click on the following link to see contact information: ECS Location