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Tuesday, May 22, 2012, 4:32:02 AM |
Eligibility and Enrollment
Dear Parent/Guardian:
Thank you for your interest in the Head Start / Early Head Start Program. Our
program offers part day and full day preschool and family services in various
locations throughout Santa Clara and San Benito Counties.
To qualify for our services your child must be age eligible AND your family
must either be income or categorically eligible.
ELIGIBILITY REQUIREMENTS
Age Eligibility:
- For Head Start - Your child must turn 3 yrs old AND
must not turn 5 yrs old by December 2nd
- For Early Head Start - Your child must be at least 18 months and
not yet 3 yrs old
Income Eligibility: Your family is income eligible if your income meets
the Federal Income Guidelines listed below:
|
2012 Poverty Guidelines |
|
Persons in
family/household |
Poverty guideline |
|
1 |
$11,170 |
|
2 |
15,130 |
|
3 |
19,090 |
|
4 |
23,050 |
|
5 |
27,010 |
|
6 |
30,970 |
|
7 |
34,930 |
|
8 |
38,890 |
| For families/households with more than 8
persons, add $3,960 for each additional person. |
Categorical Eligibility: Your family is eligible if you
are in any of the following categories
- The child to be enrolled is in foster care
- The family is receiving benefits or services through
the CalWORKs Program
- A family member living with and supported by you is
receiving Supplemental Security Income benefits (SSI)
- The family is homeless
Children with disabilities: Income eligibility requirements for Head Start may be waived (until program has
reached 10% enrollment of children with special needs) if your child has a current Individualized Education Plan (IEP),
or for Early Head Start if your child has a current Individual Family Service Plan (IFSP).
REQUIRED DOCUMENTS
Your application must be complete and include copies of the following
documents (documents will not be returned):
- Birth Certificate
- Immunization Records
- TB Assessment and/or TB Test Results
- Income Verification - Documentation must reflect your
current economic status and must include all sources of income
received by the child's parents or guardians such as:
- Current pay stubs showing last two (2) months worth of income
- Letter from employer stating hours worked per week and pay rate (only
if unable to provide pay stubs)
- Latest Income Tax Return or W-2 (if seasonally employed,
self-employed, or if unable to provide pay stubs; must reflect current
economic status)
- Unemployment Income
- Worker's Compensation
- Child Support
- Disability Income
- Proof of Legal Custody (if child is in foster care)
- Notice of Action (if receiving CalWORKs)
- Proof of Supplemental Security Income (if applicable)
- Homelessness Verification (if applicable and available)
- Current IEP (Head Start) or IFSP (Early
Head Start) (if applicable)
- Full Time Employment or School/Training Verification (if
you are requesting full day services)
SUBMITTING YOUR APPLICATION
Once you have completed the application, you may submit your materials in one
of the following ways:
Call the office to ask for directions to the center nearest you
Deliver in person or Mail to: Head Start Program, 1290 Ridder Park
Drive, MC 225, San Jose, CA 95131-2304
You will be contacted by mail once your application has been processed.
If you have any questions please call (408) 453-6900 or (800) 820-8182,
Monday through Friday, 8:00 a.m. to 5:00 p.m.
Download Head Start / Early Head Start Enrollment Application (in PDF)
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