Head Start Early Enrollment

Child Early Head Start / Head Start Enrollment Application

Southeastern Community and Family Services, Inc. Early Head Start (EHS) and/or Head Start (HS)Programs are now accepting applications for children who will be 2, 3, and 4 years of age by August 31, 2020.

Early Head Start Program – Class-age 2-year-olds: Birthdate on or between September 1, 2017 – August 31, 2018

Head Start Program

Class -age 3-year-olds: Birthdate on or between September 1, 2016-August 31, 2017

Class-age 4-year-olds: Birthdate on or between September 1, 2015-August 31, 2016

Applications on children with special needs are also accepted.  Head Start children will be transported to and from home by bus. However, parents are to provide transportation for children that are eligible for Early Head Start

Please print the following contact information:

Parent/Guardian Name: _________________________________________________________________

Child’s Name/Applicant’s Name: __________________________________________________________

Age of Child:  ______________________

Center nearest your home/physical address:  ________________________________________________

County you reside in:____________________________________________________________________

Mailing Address:    ____________________________________________________________________

City:  ____________________________________________ State:  _______    Zip Code: ____________

Home Phone:  ________________________   Cell Phone/Message Phone:  _______________________

Email Address:  _______________________________________________________________________

Physical Address (if different from mailing): _________________________________________________

City: ____________________________________________ State: __________   Zip Code: ___________

Please utilize one of the options below (mail, email, or phone) to share your contact information:

Option 1 – Print and complete this form and mail your contact information to:

            Southeastern Community and Family Services, Inc.

            Early HS/HS Program

            PO Box 1025

            Lumberton, NC 28358

            RE:  Child Enrollment Application- Contact Information

            Agency Phone Number: (910) 277-3500

 Option 2Call EHS/HS Administrator to share contact information or begin completion of application.

            Agency Contact Phone Numbers:

Angela Ray: (910) 318-3069

Carol Burney:(910) 852-9067

Denita Campbell: (910) 280 -1941

 Option 3 – Email your contact information

County and Name of Centers  Center Location:  Contact Person and Email Information:
 Bladen County:
Elizabethtown EHS/HS Elizabethtown, NC Carol Burney:      burneca@scfsnc.org
Brunswick County
Piney Grove HS Bolivia, NC Carol Burney:      burneca@scfsnc.org
Longwood HS Longwood, NC Carol Burney:      burneca@scfsnc.org
Columbus County
Mt. Olive EHS/HS Whiteville, NC Denita Campbell:   campbdh@scfsnc.org
Ransom HS Riegelwood, NC Carol Burney:        burneca@scfsnc.org
Hoke County
Hoke HS Raeford, NC Denita Campbell:    campbdh@scfsnc.org
Robeson County
South Robeson EHS/HS Fairmont, NC Denita Campbell:     campbdh@scfsnc.org
Maxton HS Maxton, NC Angela Ray:          rayang@scfsnc.org
Pembroke HS Pembroke, NC Angela Ray:          rayang@scfsnc.org
Red Springs EHS/HS Red Springs, NC Angela Ray:          rayang@scfsnc.org
St. Pauls HS St. Pauls, NC Angela Ray:          rayang@scfsnc.org
Scotland County
Laurel Hill HS Laurel Hill, NC Denita Campbell:     campbdh@scfsnc.org
Laurinburg HS Laurinburg, NC Denita Campbell:     campbdh@scfsnc.org

After your contact information is received, someone will schedule a time with you to begin the process of  completing an enrollment application. You may also download the complete form here…

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