Berne Head Start/UPK

Contact Information:

1738 Helderberg Trail
Berne, NY 12023
(518) 872-2030

About this PreSchool

Application Process for 2011-2012Fill out all areas of the attached application (pages 3,4 &5 of this packet).**Please note: School District Residency and Registration is required for 4 year old UPK classes. Bring the completed application with all of the supporting documents listed below to the nearest Head Start location listed on page 2. Copies of your documents will be made and you will be given a receipt. We will not accept incomplete applications. Be sure to bring: ChilG V Original Birth Certificate &KLOG V Current Immunization Record &KLOG V Health Insurance and/or Medicaid Card (If child has coverage) Proof of Income (W-2 from last year, Public Assistance Budget Sheet, 4 consecutive weeks worth of pay stubs, Unemployment Documentation, Child Support Payments, SSI Grant Letter, Foster Care Grant, Tax Form 1040) Court Papers Verifying Guardianship (if applicable) You will notice that an ACAP Head Start Physical Exam Form is attached. Please note t


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