Enrollment Application

Children's Services

Apply for Head Start, Early Head Start, and/or Head Start Mom's Program

Apply Here: https://bit.ly/HSEHSEnroll

Aplicar Aquí: https://bit.ly/HSEHSEsp

• Enrollment Application – English
• Solicitud de Inscripción – Español
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• Enrollment Application for Pregnant Women – English
• Solicitud de Inscripción para Mujeres Embarazadas – Español
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Supplemental Applications

• Enrollment Application Supplement – English
• Solicitud de Inscripción, Anexo– Español‍
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• Enrollment Application Supplement for Pregnant Women – English
• Solicitud de Inscripción para Mujeres Embarazadas, Anexo– Español
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Housing Questionnaire

• Housing Questionnaire – English
• Cuestionario de Vivienda – Español
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Statement of Incapacity

• Statement of Incapacity – English
• Declaración de Necesidades Médicas – Español‍

Community Services

Energy Assistance Programs

• Energy Assistance Application (North and South County) – English
• Energy Assistance Application (North and South County) - Spanish
• Energy Assistance Application (Lompoc Only) – English
• Energy Assistance Application (Lompoc Only) - Spanish
• Income Guidelines 2024

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Senior Safe At Home

• Senior Safe At Home Application – English

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