2025 Early Head Start Enrollment Application

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. Parent/Guardian ID: A copy of your valid government-issued ID
4. 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.
5. 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.
Parent/Guardian Information
Parent/Guardian's Name*

PrefixFirst NameLast Name
Parent/Guardian's Date of Birth*

MonthDayYear
Date
Parent/Guardian's Email Address*
example@example.com
Confirm Parent/Guardian's Email Address*
example@example.com
Mobile Phone*
Please enter a valid phone number.
Opt In for Text Messages*

YesNo
Home Phone Number
Please enter a valid phone number.
Preferred Language*

EnglishSpanishOther
Employment Status*

Full-Time & Training/SchoolFull-Time (35 hours/week or more)Part-Time & Training/SchoolPart-Time (20 hours/week or more)Retired or DisabledSeasonally EmployedTraining or SchoolUnemployed
Child's Relationship*

Biological/Adopted/StepFosterGrandchildOther RelativeOther
Parent/Guardian Address
Are you unhoused or experiencing homelessness?*

YesNo
Living Address*
Address Line 2
City*
State*
ZIP*
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.*

Kenner: Small Royalty Learning Center (2605 21st St)Kenner: Kinderland Academy (312 Williams Blvd)New Orleans East: Gilda's Preschool Academy (7653 Lacombe St)New Orleans East: 3 Sisters Academy (9015 Morrison Rd)New Orleans East: World Class Learning Academy (8250 I-10 Service Rd)Westbank: Carlie Care Kids Academy (1810 Stumpf Blvd)Westbank: Carlie Care Kids (501 Richard St)Mid City: Kid's Kingdom Academy (2903 Tulane Ave)Central City: Royal Castle Child Development Center on MLK (2808 Martin Luther King Jr Blvd)St. Roch: Shiloh Gardens Academy on Marais (2521 Marais St)
Are you a teacher at any of the centers listed above?*

YesNo
Does your child have a sibling attending the center you selected?*

YesNoOther
Household
Including you, how many adults live in the house?*
How many children under 18 live in the household?*
Child's Information (Applicant)

Please only add children who are under the age of 3 on Sept 30, 2025.
Child's name*

First NameMiddle NameLast NameSuffix
Child's Date of Birth*

MonthDayYear
Date
Child's Gender*

FemaleMale
Child's Race*

American Indian or Alaska NativeAsianBlack or African-AmericanMulti-racial/biracialNative Hawaiin/Other Pacficia IslanderWhiteOther
Child's Ethnicity*

Hispanic/LatinoNot Hispanic/Latino
Does your child have a disability?*

YesNo
Is your child currently receiving services through Early Steps?*

YesNo
Is there anything else you want to tell us about your child?
Attachments to upload
Child's Birth Certificate*

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Child's Updated Shot Record (Immunizations) *

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Parent ID (ex. Driver's license)*

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You selected an option other than biological parent. Please provide the Child Placement Agreement from DCSF or Provisional Custody by Mandate.*

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Is your family receiving cash benefits or other services under the Temporary Assistance for Needy Families (TANF) program?*

YesNo
Please upload TANF documentation*

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Is your family receiving Supplemental Security Income (SSI)?*

YesNo
Please upload SSI documentation*

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Is your family receiving service under the supplemental Nutrition Assistance Program (SNAP), formerly referred to as food stamps?*

YesNo
Please upload SNAP documentation*

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To prove your employment status, please submit one of the following documents:
- Your last 4 pay stubs of your current job
- 2023 1040 tax return
- 2023 W-2
- Letter from employer stating date of hire, hourly wage, and average hours per week
Upload document for employment verification. *

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Early Head Start Application

What to Expect When Applying for Early Head Start

How to save

Parent/Guardian Information

Parent/Guardian Address

Which Early Head Start locations are you interested in?

Household

Child's Information (Applicant)

Attachments to upload