Are You Eligible?

Eligibility is generally based on family income at or below the poverty level according to the Poverty Guidelines published by the federal government. A family may also be eligible due to homelessness, disability or foster care/relative care.

At this time, to request an application call 763-783-4314 or download below.


Download Head Start-Early Head Start Application below, application can be submitted through email by following these steps. 


  1. Open desired application in Google Chrome or Microsoft Edge
  2. Fill in application
  3. When completed, download/save the form onto your computer
  4. Attach it to an email and send it to

English Application

Spanish Application

Arabic Application

Applications can also be printed out and physically sent via fax and mail to:

  • Fax: 763-783-4333
  • Mail: 9574 Foley Blvd, Coon Rapids, MN 55433

Applications can also be dropped off in the drop-off box outside the entrances at the Family Development Center. The Family Development Center is located at 9574 Foley Blvd, Coon Rapids, MN 55433. 


Call our Enrollment Hotline: 763-783-4314

Spanish: 763-783-4305

If you are needing an application in a different language other than English, Spanish or Arabic, please call our Enrollment Hotline.


Please include 12 months proof(s) of income:

o Public Assistance – Provide 12 months of MFIP/DWP benefits
o Foster Care/Kinship/Relative Care – Provide placement letter or other documentation as requested
o Supplemental Security Income (SSI) – Provide award letter
o Homeless – Provide 3rd party verification
o Income Tax Return or W2 – Provide a copy of the most recent year
o Pay Stubs – Provide the last 12 months
o Unemployment – Provide the last 12 months of Unemployment benefits
o Child Support/Alimony– Provide the last 12 months of payments
o Social Security/Pension/Veteran’s Benefits/Disability – Provide 12 months of payments
o Self-Employment – Provide 12 months of net pay documentation or 1099 form 

*If applying for the Early Head Start Child Care Partnership program, please also include a
copy of your most recent Child Care Assistance letter of decision or Pathways 1 Scholarship. 

The application process can take up to 4 weeks after all necessary documents are received and
an interview with the parent/guardian has been completed. Completing an application does not
guarantee placement in the program. Once your application is processed, you will receive a letter
notifying you of your eligibility.


Thank you for applying.