About this PreSchool

To apply, please complete an application (aplicaci n en espa ol) and return it to any of their Head Start centers along with copies of the following items.

1. Birth Certificate (or other proof of birth):

• Must include
• Child's name
• Birth date
• Parent's names.

2. Income verification (one of the following):

• Tax Return Form 1040
• W2 form
• Paycheck stubs (last 3)
• Letter from employer
• Letter from TANFInsurance card (If you have private insurance, Medicaid, CHIP, etc.)Immunization Record:
• Must have all or be on schedule with the following vaccinations4 HIB 4 DTaP 3 Polio 1 MMR 3 HEP B 2 HEP A Pneumococcal or PCV-7 1 Varicella or proof of chicken pox[If applicable]

3. Proof of Public Assistance (SSI, DWFS

• Child Care Assistance, Food stamps)[If applicable]

A referral letter and/or IEP (Individualized Education Plan)