Enroll in a Early Childhood Head Start Program in Illinois

Primary Parent or Guardian Information

First Name

Last Name

Phone Number

What is the best way to reach you?

What is the best time to reach you?

Please provide your current address. Please note that addresses are kept confidential and are only utilized to recommend the closest program to your residence.

Zip code

By providing your zip code, we are able to share resources and program referrals relevant to your location.

What is the primary language spoken at home?

How did you hear about the Start Early's early learning programs?

Please share the name of the community agency.

Please share the name of the parent or friend who referred you to Start Early.

Other (please specify)

Income

Do you currently meet the income eligibility guidelines for our services?

YesNoI don't know

UNABLE TO PROCESS APPLICATION

It looks like you selected that you do not meet the income requirements according to the federal poverty guidelines, which means you are ineligible for our Early/Head Start Network services. We appreciate your interest but will not be able to process your inquiry.

BEFORE YOU CONTINUE

If you are unsure if you meet our income eligibility standards, please review the federal poverty guidelines to make your determination, or please reach out to our team at 773-496-5413 or email AColeman@StartEarly.org, to help in this determination.

Services for Pregnant Women or Birthing People

Are you currently pregnant and seeking pregnancy support services?

YesNo

BEFORE CONTINUING YOUR APPLICATION

If you are not currently pregnant, but do have a child, or children, our Early/Head Start Network serves children and their families through age three for our home-based, home visiting services, and through age five for our center-based services. If you would like to learn more about our network of community-based agencies, please visit our Early/Head Start Network child care pagefor more information.

Services for Children Under Age Five

Do you have a child or children, age five or younger, that you would like to enroll in an early learning program?

YesNo

CANNOT PROCESS APPLICATION

It looks like you selected that you are neither pregnant, nor have a child who is five and under that you would like to enroll, which means you are ineligible for our Early/Head Start Network services. We thank you for your interest and encourage you to apply in the future, should you qualify.

Child Information

Child's First Name

Child's Last Name

What is the child's birthday?*

Child's Birthday (MM/DD/YYYY)

What type of early childhood program are you interested in?

Home VisitingCenter-BasedBothNot Sure

What is the child's relation to you?

Other Relation to Child (please specify)

If you are enrolling more than one child, please click "enroll another children" to include their information.

Have additional questions or comments? Add them here.

If you have additional questions, please call 773-496-5413 or email acoleman@startearly.org

Quality early childhood is one of the best ways to level the playing field. Learn why and about the impact we’re having.

For 40 years, Start Early has been a champion for early learning. Learn more about what has shaped us and what moves us forward.

We bring our expertise across program, policy and research to all we do and partner with others to scale our knowledge across the country.

Strengthening early childhood organizations for positive staff, family, and child outcomes.

Resources from our experts that give parents the tools they need to help their children thrive in those critical early years.

Become a champion for early learning. Learn how you can help close the opportunity gap for our youngest learners.

Head Start & Early Head Start Contact Form