Head Start Pre-Application Form - Columbia Child Development Program

Head Start is recruiting children for

the 2024-2025 school year!

Children must be 3 or 4 before September 1, 2024 and meet the Federal Poverty Income Guidelines. Centers are located in Bloomsburg, Berwick and Benton.

Complete and submit a Pre-Application Form today and a Family Services Worker will contact you.

PRE-APPLICATION FORM

* Indicates required field

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Child's Name *

Child's Birthday *

Email *

Phone Number *

Comment *

Submit