Head Start Pre-Application Contact Form

Head Start Pre-Application

Thank you for your interest in Mountain Projects, Inc. Head Start. Please fill out the information on this form, and someone will get in contact with you soon to complete the application process.

Parent/Guardian Information
What is the name of the person completing this pre-application?*

First NameLast Name
What is your email address?
example@example.com
Phone Number*

Area CodePhone Number
Child's Relationship to You*
Do you live in the same household as the child?*

Child (Applicant) Information
Child's Name*

First NameLast Name
Child's Birthday*

MonthDayYear
Date
Child's Gender*

Program Information
Where do you live?

Haywood CountyJackson County
Which program are you applying for?*
Do you have specific questions or other comments?
Thank you for submitting your online pre-application. Someone from our program will contact you with more information about the application process.
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