Apply Online

Dear parents: Please complete the first step of the online Head Start / Early Head Start preschool application process for the 2024-2025 school year. A staff member will contact you to assist you in submitting any additional required documents to complete your child's application. • Documents that will need to be submitted are the following: Proof of SNAP if currently receiving, Proof of income for the last 12 months or last calendar year for all members in the household: 2023 Income Taxes or W2 form, or last current pay stub(s)/LES for 2023, • WFFA/TANF letter. • 12 months of Child Support computerized printout for all children in the home. • SSI; SSDI, SSA, Retirement Benefits, Veteran's Benefits, Alimony, • Unemployment, Disability, etc. All income information must be for the last 12 months or last calendar year. Immunization information (must be completed when child begins school). Certified copy of child's birth certificate, or other proof of age if certified birth certificate is not available. If you have any questions about information that needs to be submitted, please contact Allisa Wilson at awilson@nc-cada.org or Lamont Clark at lclark@nc-cada.org to speak with someone in our application office. ADDITIONAL DOCUMENTS IF APPLICABLE: Foster Care/Kinship Care Documentation Legal Guardian/Custody Papers Parent School Schedule Disabilities/IEP/IFSP Documents

Primary Adult - Enter the name of the legal female parent/guardian who lives in the home, if applicable. If no female legal parent/guardian is living in the home, enter the name of the legal male parent/guardian. Must be related by Blood, Marriage, Adoption or Foster.

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 (Required)

Opt In for Text Messages

Home Phone (Required)

Work Phone (Required)

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

Highest Grade Completed (Required)

Employment Status (Required)

Child's Relationship (Required)

Custody (Required)

Lives with Family (Required)

Provides Financial Support

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

Enter the secondary parent if in the same household as the child.

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

Hispanic

English Proficiency

Highest Grade Completed

Employment Status

Child's Relationship

Lives with Family

Provides Financial Support

Are there other adults in the household?

Add Another Adult

Enter two parent family if both parents are in the same household. Enter one parent family if only one parent lives with the child.

Number of Parents/Guardians (Required)

Relationship to Participant(s)

Primary Language at Home

Number in Household

Number in Family

Gross Annual Income

Is your family receiving cash benefits or other services under the Temporary Assistance for Needy Families (TANF) program?

Is your family receiving Supplemental Security Income (SSI)?

Is your family receiving services from WIC?

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

Is at least one parent/guardian an active duty member of the United States military?

Is at least one parent/guardian a veteran of the United States military?

Add Emergency Contact

Please enter ONLY the legal first name and last name of the child you wish to enroll in the program. DO NOT INCLUDE MIDDLE NAMES OR INITIALS. In child notes please include if your child has an active Individualized Educational Plan (IEP) or Individualized Family Service Plan (IFSP).

First Name (Required)

Middle Name

Last Name (Required)

Suffix

Nickname

Birthday (Required)

Gender

Race

Hispanic

English Proficiency

Primary Health Coverage

Medicaid Number

Dental Coverage

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

Is there anything else you want to tell us about your child?

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

Are there other children in the family?

Add a Sibling

Thank you for your interest in the CADA Head Start / Early Head Start Program. A staff person will contact you within the next 10 business days. If you need assistance please call (252) 539-4155. You will now be redirected to the eligibility upload page. Please upload your SNAP (food stamps) card or letter showing proof of SNAP benefits, child's immunization record, proof of age and household income for last 12 months or last calendar year for all house hold members. These steps will be discussed with you during the follow up call.

Required information is missing, see above.

Parent/Guardian

Address

Additional Parent/Guardian

Other Adults

Family Information

Emergency Contacts

Child (Applicant)

Location Preferences

Additional Applicant

Siblings