HS & EHS Enrollment Application

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Leech Lake Early Childhood Development

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Welcome to the Leech Lake Head Start and Early Head Start. Please submit an application to start the enrollment process for your child(s). Space is limited we encourage you apply early.

Download Form

2024-2025 HS/EHS Enrollment Application Form (Download/Print)

 

In-Person

Visit the main office (AOB) to complete the application with an enrollment specialist.

Online Application

Leech Lake early Childhood Development

Welcome to the Leech Lake Head Start and Early Head Start. Please submit an application to start the enrollment process for your child(s). Space is limited we encourage you apply early.

Online

Complete your application online

Download

Head Start & Early Head Start Enrollment Application 

Download and print application

In-Person

One Platform With Endless Possibilities

Let's Get Started!

Please let us know which grade level you are applying for. Also, please let us know if you're a new or returning child applicant.

Enrollment Status *
Grade Level *

Child Applicant 1

Basic Information

Child Applicant 1

Demographic Information

1.4 - Gender *
1.5 - Race *
1.6 - Hispanic *
1.7 - Enrolled in a Federally Recognized Tribe *

Child Applicant 1

Language Proficiencies

1.8 - English Proficiency *
1.9.1 - Other Language Proficiency (if any)

Child Applicant 1

Health Information

1.11 - Medicaid Eligible
1.14 - Disability or Special Needs *
1.15 - IFSP or IEP

Child Applicant 2

Select "Yes" only if you have additional child to enroll.

Do you have another child applicant (2) to add? *

Basic Information

Demographic

Gender
Race
Hispanic
Enrolled in a Federally Recognized Tribe

Language

English
Other Language Proficiency (if any)

Health

Medicaid Eligible
Disability or Special Needs
IFSP or IEP

Child Applicant 3

Select "Yes" only if you have additional child to enroll.

Do you have another child applicant (3) to add?