Connect with Head Start:  
 
1-888-893-6891
headstart@geminus.org
 

Please complete the form below to begin the scholarship application process. One of our staff will contact you shortly.

 

Child's Information
Family Information & Demographics
Other Parent/Legal Guardian Information
Other Information
Signature
 *I certify that all information provided on this application is accurate to the best of my knowledge.
Your Comments
 
 

School readiness begins with health! Our program follows Indiana child care licensing and Head Start Performance Standard regulations that require all enrolled children to complete a school physical exam each year of enrollment and a dental exam every 6 months. Please use the link below to download physical and dental exam forms to take to your medical providers. If you need help establishing a medical provider, our Program Assistant can help you find the best provider to suit your needs.

 

Download Physical and Dental Exam Forms

 
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