Enrollment Application Revised December 2010 Please make sure that you answer every question completely and thoroughly.
Incomplete questions could affect your enrollment status.
Federal regulations require verification of family eligibility prior to being considered for enrollment in Head Start.
One copied item from the list below must be submitted with the enrollment application.
Please do not mail originals (COPIES ONLY).
Acceptable Forms of Eligibility Verification (refer to program regulations below)
Social Security Income documentation (anyone in family)