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About / How to Apply
HOW TO APPLY AND WHAT TO SEND WITH YOUR APPLICATION
ONLY COMPLETE AND SUBMIT ONE APPLICATION
1. Sign and date the application in ink. This is required in order to process your application.
2. Answer every question on the application. Leaving things blank will cause a delay.
3. Include a copy of your last energy bill for the MAIN fuel you use to heat your home. The supplier's name and
your account number are necessary for processing.
IF YOU HAVE A DISCONNECT NOTICE, INCLUDE IT: You should also provide any disconnect notice for
OTHER fuel you use as back up to your main heat source (space heaters, electricity to make your heater work,
etc.). You may be able to get assistance for your OTHER fuel source to avoid being shut off.
4. Provide copies of Social Security cards or other verification of Social Security numbers. If you applied last year
for energy assistance, or if you are receiving assistance from the Family Support Division, you do not need to
provide this information.
5. Provide
Early Head Start (EHS) is a federally funded community-based program for low-income families with infants and toddlers and pregnant women. Its mission is simple:to promote healthy prenatal outcomes for pregnant women,to…
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Please do not submit: Social Security numbers, birth certificates, income or tax documents,
medical records, immigration documents, benefit-account details, or other official application materials through
this form. Official enrollment documents must be submitted directly to the local Head Start program.