Early Head Start Referral
The Early Head Start (EHS) program is a federally funded, no cost, comprehensive child and family development program serving low-income expectant women and families with infants and toddlers age birth to 3 in Onslow County. Families can participate through two program models: home visiting (expectant families and children birth to 3-years-old) and high-quality center-based child care (children 6 weeks to 3-years-old)
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Program Option *
Parent Name *
Date of Birth *
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Pregnant? *
If yes, due date: *
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Address: *
Phone number: *
Email address: *
Best time to contact?
Child Name *
Date of Birth *
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Referring Agency *
Contact Name *
Phone Number *
Email Address *
Fax Number
Additional Information
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