To enroll into Head Start & State Preschool for
children 3-5 years old, please fill out the following
application. A Child Development staff member
will get back to you about next steps in registering your child
If you do not have computer access, applications can be picked up
in the lobby of the Enrollment Center, located at 5601 47th
Avenue, M-F 8:00am -1:00pm.
Please understand that filling out this form does not
guarantee a spot for your child in our program. Additional
documents will be needed to complete your child’s
If you would like to volunteer you must complete a
volunteer packet and provide copies of a TB clearance (dated
within 12 months) and Immunizations against Influenza, Pertussis
*Child’s Physical Exam is due within 30 days of enrollment or
your child will be excluded until one is provided.
*If residing with another person (relative, etc.), please
complete the Declaration of Residence form of the person
identified on the utility bill and mortgage/rental lease.