Head Start Application

Please provide phone and contact information for a friend or relative

Single parents: If a parent is not living in the household, you may mark the missing parent's info sections with "N/A" (Not applicable)

For the purposes of eligibility, Family, for a child, means all persons living in the same household who are:(1) Supported by the child’s parent(s) or guardian(s)’ income; and (2) Related to the child’s parent(s) or guardian(s) by blood, marriage or adoption; or (3) The child’s authorized caregiver or legally responsible party.Family, for a pregnant woman, means all persons who financially support the pregnant woman.