LCHS: HEAD START CONTACT ME FORM
For information on our Head Start, Early Head Start and Pre-K Counts programs please complete the following form to contact the Recruitment Office.
A Head Start Recruitment Staff Person will contact you within 3 Business Days.

Applications are accepted all year long for Head Start and Early Head Start programming in both Luzerne and Wyoming counties.

Recruitment season for our preschool program begins in January for the following school year.
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Adult First Name *
Adult Last Name *
E-Mail *
Confirm E-Mail *
Address Line 1 *
Address Line 2
City *
State *
Zip Code *
Phone/Cell Number *
Please indicate the best time to call *
How did you hear about us? *
If you chose 'Other Agency' from the previous list, please specify here:
Child 1 First Name *
Child 1 Last Name *
Child 1 Birthdate *
MM/DD/YYYY
Child 2 First Name
Child 2 Last Name
Child 2 Birthdate
MM/DD/YYYY
Child 3 First Name
Child 3 Last Name
Child 3 Birthdate
MM/DD/YYYY
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