Please click open the link at the bottom of this page to view the Application. You will need to print out the document, complete, and send it to:Head Start Pre-Birth through Five414 E Clark StreetJulian Hall Room 326Vermillion SD 57069Acceptance into our program is based on income eligibility. We need some form of income verification with your application, which can be the previous year's income tax form, W2 form, pay stubs, financial aid award, TANF letter, etc.To complete the enrollment process, we need the following information:Completed applicationFamily's proof of incomeChild's birth recordChild's immunization recordDental/Oral health exam (within 45 days of enrollment or written proof)Well baby/Well child exam (within 45 days of enrollment or written proof)If you have more than one applicant, please submit a separate application for each.If you have any questions, please give us a call at 605-677-5235 or 1-800-813-8132. Our fax number is 605-677-6597.
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