Enroll in a Early Childhood Head Start Program in Illinois

Head Start & Early Head Start Contact Form

Start Early partners with Head Start agencies that deliver doula, home visiting and center-based programs in Chicago, Suburban Cook County and Waukegan Township. Please note that this is not an application for CPS programming.

To get started in the enrollment process, please complete this initial contact form and someone will be in touch with you within 3-5 business days.

Note: Income is an eligibility requirement for our Head Start and Early Head Start programs.

See Eligibility Guidelines

Primary Parent or Guardian Information

First Name

Last Name

Phone Number

What is the best way to reach you?

What is the best time to reach you?

Please provide your current address. Please note that addresses are kept confidential and are only utilized to recommend the closest program to your residence.

Zip code

By providing your zip code, we are able to share resources and program referrals relevant to your location.

What is the primary language spoken at home?

How did you hear about the Start Early's early learning programs?

Please share the name of the community agency.

Please share the name of the parent or friend who referred you to Start Early.

Other (please specify)

Are you currently pregnant and seeking pregnancy support services?

YesNo

Do you have a child or children that you would like to enroll in an early learning program?

YesNo

Child's First Name

Child's Last Name

What is the child's birthday?*

Month

Day

Year

What type of early childhood program are you interested in?

Home VisitingCenter-BasedBothNot Sure

What is the child's relation to you?

Other Relation to Child (please specify)

If you are enrolling more than one child, please click "enroll another children" to include their information.

Have additional questions or comments? Add them here.

If you have additional questions, please call 773-358-6479 or email acoleman@startearly.org

Quality early childhood is one of the best ways to level the playing field. Learn why and about the impact we’re having.

For 40 years, Start Early has been a champion for early learning. Learn more about what has shaped us and what moves us forward.

We bring our expertise across program, policy and research to all we do and partner with others to scale our knowledge across the country.

Strengthening early childhood organizations for positive staff, family, and child outcomes.

Resources from our experts that give parents the tools they need to help their children thrive in those critical early years.

Become a champion for early learning. Learn how you can help close the opportunity gap for our youngest learners.

Head Start & Early Head Start Contact Form