Application

Please send all applications to

projectheadstart2010@gmail.com


1. Name
2. Age
3. Child's name+ Age
4. Approx monthly income level
5. Tell me a little bit about yourself and your story
6. Why do you deserve this?
7. Child's Diaper Size
8. Child's Clothing Size (We only take newborn- 5T)
9. Single, Married, Divorced, Dating?
10. Clothing Style for child?

-Thanks Everyone