Please fill in the form completely and accurately. All information will be kept confidential. It will be used to help us determine if your family is eligible for services.

If you have any questions about this pre-application, or need any help in completing it, please call us at 541-747-2425. We will be glad to help!
Click here to find a provider in your area.
- Your Address - Available Locations
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Click here to find a provider in your area.

Do you want to apply now for another child in your family?

Add Another Applicant
Thank you for your interest in Head Start of Lane County! Please click Submit to finalize your pre-application. A member of our Eligibility Department will contact you.
Required information is missing, see above.