To apply, please complete an application and return it to any of our Head Start centers along with copies of the following items.Birth Certificate (or other proof of birth): must include child's name, birth date, and parent's names.Income verification (one of the following): Tax Return Form 1040, W2 form, paycheck stubs (last 3), letter from employer, or 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] Proof of Public Assistance (SSI, DWFS, Child Care Assistance, Food stamps)[If applicable] A referral letter and/or IEP (Individualized Education Plan) if your child has special need
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