INSTRUCTIONS FOR APPLICATION PROCEDURE- If you need assistance or have questions, call the center that you are interested in. Complete the attached application and Residency Form Attach proof of total household income for the previous 12 months or previous calendar year from all parents/guardians. Please send COPIES of the following: Income Tax Return or2 Current Pay Stubs orVerified Letter from Employer If the following income applies we also need verification. Supplemental Security Income award letter TANF Child support (award letter of copy of checks) Veteran's benefits Social Security Income Unemployment (claim letter or two payment stubs) Worker's compensation Grants or scholarships Attach birth certificate Attach all immunization records (and well child records if you have them) Proof of residency (a utility bill or document that shows your residential address not mailing address) If you have NO income we must have a copy of
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