Head Start Preliminary Application Information/Información para la Solicitud Preliminar

  • Current Start
  • Complete

Welcome to the Head Start Program. Please complete the following application:
Bienvenidos al Programa Head Start. Favor de llenar lo siguiente aplicación:

 

$
$
Are you currently receiving SNAP Benefits?/Actualmente recibe beneficios de SNAP?
$
Are you currently receiving child support?
$
$

Your child needs to have updated immunizations, physical exam (including lead and anemia testing), and dental exam.
Su hijo/a necesita tener vacunas al corriente, examen fisico, (que incluya prueba de anemia y plomo) y examen dental.

Does your child currently have health insurance?/Su niño tiene seguro médico actualmente?
Have you participated in Adams County Head Start in the past/Usted a participado en Adams County Head Start?

Closest Head Start Center for this applicant/Centro Head Start más cercano al aplicante:

HS Centers1
HS Centers2
HS Centers3

Please note first and second choice:

Preferred Session/Sesión preferida
Please check any family circumstances/Anote si tiene alguna circunstancia especial en la familia:
Do you, your child, and/or your family have any health, mental health, and/or disability concerns including an IEP or IFSP?/Usted, su niño o alguien en su familia tiene algún problema de salud o mental, incluyendo incapacidad incluyendo un IEP/IFSP?
Department
Keywords
Head Start, Application, Human Services