Preschool Application

Preschool Families:

Students must be 4 years old on or before June 30, 2023 to enroll. 

Please go to and complete the 2023-2024 application. You will receive a confirmation email that your application went through. Please scroll down to the bottom of the email and the Cover Sheet, Head Start Eligibility, and the HIPPA/FERPA will be attached. Please print, complete and sign or download, complete and type your name into the signature boxes.

The HIPPA/FERPA document requires the name of your Pediatrician and Dentist.

You can either scan and upload or take pictures of the required documents with your phone using the "Normal, Large, Original, or “Actual Size" setting depending on what phone you have and attach to this email.

  • State Birth Certificate from Vital Statistics (Not County or Hospital) If Needed an order form can be emailed and mailed to Vital Statistics at 350 Capitol Street # 165 Charleston, WV 25301
  • Up-to-date shot record
  • Up-to-date Well-Child Physical with Lead and Hemoglobin
  • Up-to-date Dental Exam
  • Income verification - Pay Stub, W2, SSI Letter, or TANF Document (WV Works) (If no income, please indicate on the Head Start Eligibility document)

 Please email these documents to

 *This email is not verification that your child is enrolled. 

Placement is contingent upon Criteria for enrollment

Start Application