Welcome to the Head Start program application!
This application has two parts and may take approximately 20 – 40 minutes to complete.
Please note that both parts of the application must be completed before your application can be processed.
The information provided in this document is true, correct and complete. I have identified all parents and legal guardians for this child. The individuals identified in the “parent/legal guardian” section have the right to view child information and make educational decisions for this child, unless otherwise indicated here and supported with legal documentation. Further, I recognize that it is my responsibility to notify A B C Head Start Society should the above information change.
In accordance with the Freedom of Information and Protection of Privacy Act (FOIP), I accept A B C Head Start Society is authorized and required under the provisions of the School Act and its regulations to collect, use and disclose personal information that is necessary to provide educational programming and ensure a safe and secure environment for children.