Apply Now - Champlain Valley Head Start

Apply Now

Get started by submitting the interest form below.
(This is not an application)

A Champlain Valley Head Start (CVHS) staff member will follow up with you within 10 days to begin the application process.

Please note CVHS has limited enrollment opportunities which are filled based on child and family need.

We look forward to working with you!

Parent/Guardian Name*
First Last
Address*
Street Address City State ZIP Code
Phone #*
Email*
Language Spoken at Home*
English Proficiency*
Child Name*
First Last
Birthdate*
MM
DD
YYYY
Applying for more than one child from the same family?
Child Name
First Last
Birthdate
MM
DD
YYYY
Program Option
Referred by another agency?
Referred by Name
First Last
Referred by Phone #
Comment
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Name
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