How to ApplyTO PROCESS YOUR HEAD START APPLICATION, THE FOLLOWING INFORMATION IS NEEDED:Birth Certificate - a copy is required.Immunization Record -(if child has not been immunized, you must see the doctor first).Income records from most recent full tax year (W2, tax return, public assistance)Most recent proof of income (check stub, child support record, public assistance statement, etc.)T.A.N.F. (current 12 months printout).Medicaid or Hoosier Health Wise number for child and primary adult.Child Support (current 12 months printout).Private Insurance name and number if child is covered under a family plan.Name, address and phone numbers of Childs medical and dental doctors.3 Emergency Contacts: names, valid & working phone numbers and addresses.For more information:Call (574) 283-8127Toll Free (866) 440-8843
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