Head Start, the most successful, longest-running, national school readiness program in the United States, is one of TAP's oldest and largest programs. TAP's Head Start program was among the first in the nation, established in 1965. Today it remains the agency's largest, with a funded enrollment of 784 preschoolers, 180 infants and toddlers, and 33 pregnant women.  

Since its inception, more than 21,000 low-income preschoolers have benefited from the TAP Head Start experience.  TAP Head Start currently serves Alleghany, Botetourt, Craig, Franklin, Rockbridge, and Roanoke Counties and the cities of Buena Vista, Covington, Lexington, Roanoke, and Salem.