Instructions: Please fill out all questions asked in the application. Once you have completed the entire application, you will receive an email confirming your child’s application from your preferred Head Start location. You will be notified of Registration Events for JeffCAP Head Start with a list of required documents needed. Any child in a publicly funded “seat” must also apply to Jefferson Child: www.jeffersonchild.com
Please answer questions about education, employment and income based on the date of the application. For teen parents, only enter 'Yes' if 19 years or younger on the date of application.
Click here to find a provider in your area.
For TANF, SSI WIC or SNAP only answer "Yes" if you are currently receiving those benefits. Proof of Income and copies of awards letters will be requested.
If your child has an IEP or IFSP, please attach the document include the services begin and end dates in the notes section below.

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
You will receive an email confirmation once the application is submitted. We will contact you to schedule an appointment to complete the registration process. You are responsible for updating contact information if it changes. We will only use the numbers and addresses submitted to notify you of your child's status.
Required information is missing, see above.