MCS Head Start/Early Head Start (Marion, NC) Pre-Application
Email address *
Child's Full Name *
Child's Birthdate *
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DD
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Gender *
Ethnicity *
Race *
Your child's age determines which program they would be potentially eligible to attend. Please indicate your child's age range below. *
If your child is at least 3 years old by August 31st and is accepted into the program, which center would you like for them to attend? *
Father's Full Name (if not in the home please indicate "not in the home") *
Mother's Full Name (if not in the home please indicate "not in the home") *
Address *
Phone Number(s) *
What is the primary language of the family? *
How many adults are in your home? *
How many children are in your home? *
A copy of your responses will be emailed to the address you provided.
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