Early Head Start Enrollment Application
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  • Early Head Start Application

    Please submit the following information and documents to apply for the Early Head Start Child Care Partnership.

  • What to Expect When Applying for Early Head Start

    Thank you for choosing to apply to the LSU EHS program! Here’s what happens next:

    1. Complete an application and submit all requested documents.
    2. You will be put on a waitlist at sites you selected.
    3. When a seat becomes available, we make an offer from our waitlist.

  • You will need the following documents to complete this application

    1. Child’s Birth Certificate: A copy of your child’s official birth certificate
    2. Immunization Records: Please upload your child’s current shot record
    3. Child's Medical Insurance Card
    4. Child's Well-Baby After Visit Summary
    5. Child's Dental Exam: If your child does not have teeth yet or is less than 1 year old, proceed without submitting this item.
    6. Parent/Guardian ID: A copy of your valid government-issued ID
    7. Proof of Custody (if applicable): If you are not listed as the child’s parent on the birth certificate, please provide legal proof of custody or guardianship.
    8. Proof of Public Assistance (if applicable): If you receive public assistance, you will need to provide proof, such as:
      1. SNAP (Supplemental Nutrition Assistance Program), or
      2. TANF (Temporary Assistance for Needy Families), or
      3. SSI (Supplemental Security Income)

  • How to save

    You are able to save this form and return at a later date. Click the Save button at the bottom of the form to get a draft link or create an account.

    Applications will not be reviewed unless completed and submitted. 

  • Important! Read Before Applying 

    Please acknowledge the following statements for the LSU EHS Enrollment Application

  • Family Information

  • Parent/Guardian's Date of Birth*
     - -
  • Child's Date of Birth*
     - -
  • Are you Hispanic or Latino?*
  • What is your race? (Select one or more)*
  • Format: (000) 000-0000.
  • Opt In for Text Messages*
  • Format: (000) 000-0000.
  • Preferred Language*

  • Which Early Head Start locations are you interested in?

  • * Please note that registration at these locations is not guaranteed. Enrollment is based on the center's availability, which we will discuss after the application process.

    Learn more about our centers here.

  • Select all the EHS centers you are interested in.*
  • Are you a teacher at any of the centers listed above?*
  • Does your child have a sibling attending the center you selected?*
    • Parent/Guardian Information Continued 
    • Employment Status*
    • Child's Relationship*

    • You may qualify for the Child Care Assistance Program (CCAP)

      CCAP helps eligible families pay for child care so parents and guardians can work, attend school, or complete job training.

    • In order to receive CCAP, you will need to create an account with FamilyCentral.

      Step 1: Complete this application. 

      Step 2: Create a FamilyCentral account and enroll in CCAP at http://familycentral.ldoecc.com/.

      You will receive an email directing you to FamilyCentral after submitting this form. 

    • Parent/Guardian Address

    • Are you unhoused or experiencing homelessness?*

    • Household

    • Child's Information Continued

      Please only add children who are under the age of 3 on Sept 30, 2025.
    • Child's Gender*
    • Child's Race*
    • Child's Ethnicity*
    • Does your child have a disability?*
    • Is your child currently receiving services through Early Steps?*

    • Attachments to upload

    • Your child’s care providers may need your permission before they can share health information with our program. You can download the medical release forms here and give them to your child’s providers.

      Download the Medical Release Form here.

      Download the Dental Release Form here.

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    • Is your family receiving cash benefits or other services under the Temporary Assistance for Needy Families (TANF) program?*
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    • Is your family receiving Supplemental Security Income (SSI)?*
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    • Is your family receiving service under the supplemental Nutrition Assistance Program (SNAP), formerly referred to as food stamps?*
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    • To prove your employment status, please submit one of the following documents:

      • Pay stubs from the last 60 days of your current job
      • 1040 tax return
      • W-2
      • Letter from employer stating date of hire, hourly wage, and average hours per week
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