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Home > Early Head Start Interest Form

The 2025-2026 Interest Forms are now available. Click here to submit your form today.

The form below is for the 2024-2025 program year. As you complete your interest form, please ensure that all required information and documentation are provided. After you have submitted your interest form, please be patient as one of our dedicated intake professionals will contact you to schedule a screening interview.

 

If you are looking for 2025-2026 Interest Forms click hereWe look forward to meeting your child’s educational needs. If you need further assistance, contact 704-375-1417​.  Thank you. 

Para completar su formulario de interés en español, haga clic aquí

Serving children from birth to three years old in eligible families, our early childhood education programs are provided at no cost. The strengths of the program include building relationships, learning through creative play and structured lessons that build on each child’s needs and abilities.  

2024-2025 Program Year Interest Form

For application, eligibility, or enrollment questions, please contact 704-375-1417​.

In accordance with federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, this institution is prohibited from discriminating on the basis of race, color, national origin, sex (including gender identity and sexual orientation), disability, age, or reprisal or retaliation for prior civil rights activity.

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