Become a Head Start Provider in Illinois

Provider Interest Form

Thank you for your interest in becoming an Early Head Start and/or Head Start provider in Illinois. To get started, please complete this interest form and someone will be in touch with you within 3-5 business days.

For currently licensed child care providers

Date of Inquiry

Child Care License: Are all city and state licenses current?

YesNo

If no, please explain.

Contact Information

Contact Name

Center Name

Contact Title

Phone Number

What is the best way to reach you?

What is the best time to reach you?

Center Address

Address Line 1

Address Line 2

City

State

Postal Code

Program Information

List Communities Served

Capacity: How many classrooms? List ages and numbers licensed per classroom.

Currently served: How many children, per age, are currently being served?

Less Than 1 Year

1 Year

2 Years

3 Years

4 Years

Federal Poverty Guidelines

Early Head Start and Head Start eligibility is based on age, income and need. The majority of families must be below poverty or priority population. There is an allowance for a small percentage of children between 101-130% poverty and over income. Priority populations are families receiving TANF/SSI, foster children and families in temporary living situations.

Eligibility: Early Head Start and Head Start eligibility is based on age, income and need. What percentage of families currently serves would be eligible?

Experience: Briefly describe your experience in the early childhood/child care field.

Accreditations: NAEYC? COA? What level of ExceleRate?

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.

Provider Interest Form