Child Care, Early Head Start, Head Start, and Pre-K Application

For applications and/or more information on all of our programs you may call:

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

17-18 Child Care, Early Head Start, Head Start, Pre-K Application

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

*We also ask for a copy of the Birth Certificate and Immunization Records if possible (we will need them within 30 days if enrolled), and proof of annual income (W-2 1040 tax form, etc.) if you wish your family to be considered for Early Head Start or Head Start.

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!

Are you Human? Please answer the question below:
3rd letter in 'Cat'?