Head Start/ECEAP Application 2023-2024

Welcome! Please complete one application packet per child and attach the required documents.

Please note: This application is for the 2023-2024 school year to begin in the Fall of 2023. If you are looking to apply for the CURRENT school year, you can find the 2022-23 application on the Edwin Pratt ELC homepage.

Eligibility to our programs is determined by child’s age and family income, not by the date you applied.

Our programs fill up fast, so please apply as soon as you can!

The information on your application is confidential and used only to determine your child’s eligibility for our Early Learning Programs.

We do not require, check, or report on immigration or DSHS status.

Please allow yourself plenty of time to complete the application. You will be asked to upload the following required documents at the end. Please have them ready.

If you have any difficulties locating or obtaining any of the requested documents, please call our main office and ask to speak with a family advocate at (206) 393-4350.  You can still complete and submit the application, however your child's application will be considered for enrollment only after all documents are received and approved. 

If you checked yes, pleae provide a copy with your application.

Please list all people living in this child's primary household.

I promise that the information on this form is true and correct. I have reported all my income and family size, as required by the Early Learning Programs. If I knowingly provide false information, I understand my family may be unable to continue program services. Additionally, if my child is enrolled in ECEAP, I may have to repay the amount spent on my child.

I understand that information from this application is entered in various Early Learning databases operated by the Department of Children, Youth, and Families (DCYF) and Puget Sound Educational Service District (PSESD DCYF and PSESD are committed to protecting confidential and personal information that could identify a child or family. No information related to immigration status is entered in the databases or shared with state or federal agencies. Information in the databases may be used for the following:

• Research studies to determine if participating in Early Learning helps children later in life.
• To prove Washington State spends some of their own dollars on programs for families, which is required to receive Temporary Assistance for Needy Families dollars from the federal government.

Use any that apply:

• Last year’s Income Tax Return
• Last year’s W-2 Form
• Pay stubs from the last 12 months
• SSI/TANF benefits letters from the last 12 months
• Foster care grant
• Child support
• Employer letter stating your total gross income from the last 12 months

Use any of these:

• Last year’s Income Tax Return
• Rental or housing document

• Benefits letter (TANF, SSI, etc.)
• School records
• Court or legal document

Use any of these:

• Birth Certificate
• Passport/Visa
• Adoption Papers
• Foster Care Authorization Letter
• Current Immunization Record • DOC residential parenting roster

Use any of these:

• Birth Certificate
• Passport/Visa
• Adoption Papers
• Foster Care Record
• Written agreement signed and dated by parent and person assuming custodial responsibility

Use any of these:

• Utility bill
• Lease agreement
• Mortgage Statement
• Property Tax Statemen