Please fill out the form below to apply for Head Start of Lane County.

Please click on the language button at the top right to access the form in Spanish.

El formulario a continuación para solicitar Head Start of Lane County.

Haga clic en el botón de idioma en la parte superior derecha para acceder al formulario en español.

Application Helpful Hints:

  • Please allow at least 20 minutes to complete this document
  • There is a SAVE feature that provides a link to return to your application (DO NOT SHARE THIS LINK)
  • There is a PRINT function before sending the final application. We recommend you print your application as a PDF


  • If you have issues moving to the NEXT PAGE or SUBMIT – Please scroll up to see that all required questions were answered.
  • If you continue to have issues, please use the SAVE function and return to the application
  • If you need help, contact us at or call 541-747-2425
If you have issues with moving to NEXT page or with the SUBMIT button, please scroll up to see if any required question was missed.

At the top of the page in the red bar that describes the number of errors. The SEE ERROR button will help you locate the skipped question. Please note that the skipped question is also highlighted in red. (See image below.)

At the bottom of all pages (except the first page) is a SAVE button that will provide a link to use in the future.

Simply click on the SAVE BUTTON and a box will pop up:

Either copy and save the link, or select email to send the link to. Please know that much of this form is confidential, so we recommend that you do not share the link with anyone.

Please open the link below to send one or more documents and a form will open in a new tab.

On the last page, before SUBMIT is a print button.

Click on the PRINT BUTTON, and your print screen will pop-up:

Under ‘Destination’ choose “SAVE AS A PDF” and click save. The file will download to your computer or phone.

Sometimes additional information is requested. Please open the link below to send one or more documents and a form will open in a new tab.

For fastest processes, please included your child’s full name as it was submitted in the original application.