Child Care & Head Start Application

For applications and/or more information on all of our Head Start or our Early Care and Education programs you may call:

Enrollment Specialist
667-2995 ext. 237 or 1-800-834-4378
or Email –

2014-2015 Application – For Services AFTER July 1, 2014 (PDF)
2015-2016 Application – For Services AFTER July 1, 2015 (PDF)

You may also download the application above, fill it out and mail it to:

Enrollment Specialist
Child and Family Opportunities
P.O. Box 648
Ellsworth, ME 04605

*You will also need to send a copy of the Birth Certificate, Immunization Records, and proof of income along with the application.

Any questions? You may also fill out the form below and we will get right back to you as soon as possible.

Your Name (required)

Email (required)


Child's Name

Child's Age

Please tell us what services you might be interested in applying for and how we might help you with your child care needs.

Are you Human? Please answer the question below:
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