Enrollment Application

Children's Services

Head Start | Early Head Start | Head Start Mom's Program

Apply online: https://bit.ly/HSEHSEnroll

• Enrollment Application – English
• Solicitud de Inscripción – Español
  ‍
• Enrollment Application for Pregnant Women – English
• Solicitud de Inscripción para Mujeres Embarazadas – Español
  ‍

Supplemental Applications

• Enrollment Application Supplement – English
• Solicitud de Inscripción, Anexo– Español‍
  ‍
• Enrollment Application Supplement for Pregnant Women – English
• Solicitud de Inscripción para Mujeres Embarazadas, Anexo– Español
  ‍

Housing Questionnaire

• Housing Questionnaire – English
• Cuestionario de Vivienda – Español
  ‍

Statement of Incapacity

• Statement of Incapacity – English
• Declaración de Necesidades Médicas – Español
  ‍

Senior Services

Senior Nutrition

• Senior Nutrition Application – English
• Solicitud de Inscripcion- Espanol
  ‍

Senior Home Repair

• Senior Home Repair Application – English

‍

Community Services

Utility Assistance Program

• Energy Services Application and Enrollment Form – English
• Aplicación para Servicios de Energía y Formulario de Inscripción – Español
• Income Guidelines 2021