Riverbend Head Start & Family Services

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Become a Client

Are you becoming a parent?
Do you have a baby or toddler?
Are you interested in preschool at no cost to your family?
Would you like your child to be prepared for Kindergarten?

Madison County, Illinois families with a child ages birth through five qualify for our Head Start and Early Head Start if they are living at 100% of the Federal Poverty Level, have a child with a disability or are involved with the Department of Children and Family Services. We also enroll pregnant mothers.

We can help you create the best foundation for your child and family. Just submit this form and we'll get back to you right away.

The information you submit will be kept confidential.

Client Information

Do you have children:   Yes No

If yes, how old are they:

Do you currently have a job?:   Yes No

Do you currently have housing?:   Yes No

Do you currently have a medical card?:   Yes No


Which program are you interested in? (check all that apply)

Head Start
Early Head Start
I don't know

My family needs: (check all that apply)

Advice on raising babies, toddlers or preschoolers
Free Preschool

Is there anything else that you would like us to know?

 

Thank you for your interest in strengthening your family through us. We will contact you soon.