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Thank you for your interest in our Head Start or Early Head Start Programs. Please have proof of birth and last year’s income documents ready to upload prior to submitting your application.

Child’s proof of age: This could be a birth record (birth certificate, hospital record, OHP award letter), or immunization record

Last year’s income: tax return, or all last year W-2s, or unemployment benefit document, or Foster care placement letter, or TANF award letter, Or SNAP award letter, or SSI award letter, or Child Support, or VA benefit, or GI Bill

We serve Washington County residents in Beaverton, Hillsboro, Tigard/Tualatin, Sherwood, and parts of SW & NW Portland. Once you have submitted your application you will be notified. If you have any questions, please contact us at 503-693-3262 or headstart@caowash.org.

Please fill in the fields below. All information obtained will be used for the application process.

First Name (Required)

Last Name (Required)

Birthday (Required)

Gender

Email Address (Required)

Confirm Email Address

It appears that you have previously submitted an application. If you wish to apply again, please contact us by phone or in person.

Mobile Phone

Opt In for Text Messages

Home Phone

Work Phone

Ext.

It appears that you have previously submitted an application. If you wish to apply again, please contact us by phone or in person.

English Proficiency

Other Language

Other Language Proficiency

Employment Status

Child's Relationship

Custody

Lives with Family

Provides Financial Support

Community Action uses the McKinney-Vento Act definition of homelessness. Answer "yes" if your family is experiencing any of the definitions listed below:

Sharing a home with family or friends due to an economic hardship
In a motel or campground
In transition housing program
In a shelter (Family or Domestic Violence-Safe house)
In a car, park or public space without water or heat
Migratory children living in any of the listed situations

Is your family experiencing homelessness?

Living Address (Required)

Address Line 2

City (Required)

State (Required)

ZIP (Required)

Click here to find a provider in your area.

Mailing Address same as Living Address

Mailing Address

Address Line 2

City

State

ZIP

Please fill in the fields below. All information obtained will be used for the application process.

Is there another parent/guardian in the family?

First Name (Required)

Middle Name

Last Name (Required)

Birthday (Required)

Gender

Email Address

Confirm Email Address

It appears that you have previously submitted an application. If you wish to apply again, please contact us by phone or in person.

Mobile Phone

Opt In for Text Messages

Home Phone

Work Phone

Ext.

It appears that you have previously submitted an application. If you wish to apply again, please contact us by phone or in person.

English Proficiency

Other Language

Other Language Proficiency

Employment Status

Child's Relationship

Provides Financial Support

Are there other adults in the household?

Add Another Adult

Number of Parents/Guardians

Relationship to Participant(s)

Primary Language at Home

Number in Household

Gross Annual Income

Is your family receiving cash benefits or other services under the Temporary Assistance for Needy Families (TANF) program?

Is your family receiving Supplemental Security Income (SSI)?

Is your family receiving services under the Supplemental Nutrition Assistance Program (SNAP), formerly referred to as Food Stamps?

Fill in the information below for the child you are applying for. At the end of the application you have an option to add another applicant if you are applying for multiple children.

First Name (Required)

Last Name (Required)

Birthday (Required)

Gender

English Proficiency

Other Language

Other Language Proficiency

Does your child have a disability or do you have any concerns about your child's development?

Is there anything else you want to tell us about your child?

Which program are you applying for? (Required)

Location Preference

1st Location Preference

2nd Location Preference

3rd Location Preference

- Your Address - Available Locations

Click a location on the map to see more info

Click here to find a provider in your area.

Do you want to apply now for another child in your family?

Add Another Applicant

Are there other children in the family?

Add a Sibling

By clicking submit you affirm that to the best of your knowledge, all the information that you have provided is complete and correct. You understand that if you deliberately misrepresent your family circumstances, your family may not be eligible for services. By submitting this application, you authorize Community Action Head Start to release this information to Early Learning Washington County, Beaverton School District, Hillsboro School District, Tigard/Tualatin School District, Sherwood School District, Oregon Child Development Coalition, NWRESD, DHS and programs within Community Action Organization for enrollment purposes. Thank you for your interest in the Head Start or Early Head Start program. A member in our Enrollment team will be in contact with you soon.

Required information is missing, see above.

Parent/Guardian

Address

Additional Parent/Guardian

Other Adults

Family Information

Child (Applicant)

Location Preferences

Additional Applicant

Siblings