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HeadStart Application

To participate in the program:

Early Head Start: Pregnant women and children from two months to two years and 11 months of age.

Head Start: Children from three years to four years and 11 months of age.

Provide evidence of family income.

Children in foster care, or under the custody of the Department of the Family, are also eligible for our programs.

Documents required to complete the enrollment process for the Head Start and Early Head Start Program:

  1. Proof of age
  2. Proof of most recent residence: Water or electricity bill, lease agreement, or Bona Fide certification
  3. Proof of income: Recent pay stub, W-2, Employer certification, copy of Tax Returns, proof of self-employment, proof of child support (by mutual court agreement or ASUME), Unemployment Denial or unemployment letter, layoff letter, TANF evidence, PAN (SNAP) evidence, Social Security evidence, State Insurance Fund Corporation, Pell Grant, study stipend, and ACCA (all that apply)
  4. Evidence of any health condition or special diet for the child
  5. Evidence of the child receiving early intervention or from the Department of Education diagnosed with an IEP or IFSP (copy)
  6. Evidence of child custody (if under legal custody and not the biological parent)
  7. Proof of studies: Certification or class schedule
  8. Copy of a photo ID of the mother, father, or legal guardian completing the application
EN - Head Start

Parent/Guardian

Full Name
Full Name
First Name
Middle Name
Last name

Address

Residential Address
Residential Address
City
State / Province
ZIP Code

Additional Parent/Guardian

Family Information

Emergency Contact

First and Last Name
First and Last Name
First Name
Last Name
plus Añadir minus Eliminar

Applying Child

Full Name
Full Name
First Name
Middle Name
Last Name

Additional Applicants

Do you have an additional child for whom you would like to submit an application for services?
Full Name
Full Name
First Name
Middle Name
Last Name
plus Añadir minus Eliminar

Siblings

Are there other children in the family?

Please complete the required information

Full Name
Full Name
First Name
Last Name
plus Añadir minus Eliminar
Thank you for your interest in our Early Head Start - Head Start Program. The team at the Red por los Derechos de la Niñez y Juventud de Puerto Rico is eager to welcome you to our Service Centers.