School City of Hammond Head Start Application Process 2023-2024

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Head Start is a federally-funded school readiness program for children ages 3-5 (Student must be 3 or older on or before August 1, 2023 to be eligible for Head Start for the 2023-2024 school year).If you are interested in applying for Head Start, please complete the form below and you will be contacted by one of our Family Support Specialists to determine eligibility and schedule a phone interview/application.
Head Start es un programa de preparación escolar financiado por el gobierno federal para niños de 3 a 5 años (los niños de 3 años deben tener 3 años el 1 de agosto de 2023 o antes para ser elegibles para Head Start para el año escolar 2023-2024). Si está interesado al solicitar Head Start, complete el formulario a continuación y uno de nuestros especialistas en apoyo familiar se comunicará con usted para determinar la elegibilidad y programar una entrevista/solicitud telefónica.

Email *

Parent/Guardian Name. Nombre del Padre de Familia / Guardian *

Parent/Guardian Phone Number. Número de teléfono del padre/tutor *

Home address (must be a resident within the Hammond School District to enroll). Domicilio (debe ser residente del distrito escolar de Hammond para inscribirse). *

Child's Name. El nombre del niño *

Child's Birth Date. Fecha de nacimiento del niño *

YYYY

Which Head Start location are you interested in your child attending? ¿A qué ubicación de Head Start le interesa que asista su hijo? *

Annie Burns-Hicks Elementary (Formerly Maywood)

Columbia School (Half day and full day classroom- full day typically full with 2nd year students or has limited spots)

Edison Elementary

Franklin Elementary

Hess Elementary

Lew Wallace Elementary

Morton Elementary (this site is full day only and typically full with 2nd year students or has very limited spots)

O'Bannon Elementary

My Primary language is (if primary language is other than English staff will reach out via email initially to determine translation needs). Mi idioma principal es (si el idioma principal no es inglés, el personal se comunicará inicialmente por correo electrónico para determinar las necesidades de traducción): *

English

Spanish

Other

I understand this form is NOT an application. This form is to request a Family Support Specialist calls to review eligibility and schedule an application. Entiendo que este formulario NO es una solicitud. Este formulario es para solicitar que un especialista en apoyo familiar llame para revisar la elegibilidad y programar una solicitud. *

Yes/Si

Send me a copy of my responses.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of School City of Hammond. Report Abuse

Forms