Welcome, If at any time you need assistance with this application please contact our office at (541) 888-3717
Custodial Guardian/Parent
Click here to find a provider in your area.

Are there other adults in the household?

Add Another Adult
- 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
Thank you for completing this application for South Coast Head Start. Your application will be processed in a timely manner when it is received by our enrollment specialist (ERSEA). When a spot in our program opens we will review the waitlist and make an enrollment selection based on the selection criteria that is set by our Policy Council, using information from applications. If you have any questions please call South Coast Head Start at 541-888-3717.
Required information is missing, see above.