Elkhart and St. Joseph Counties Consortium

 

 
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 CLICK HERE FOR 2017-2018 ENROLLMENT SCHEDULE AND INFORMATION


application

 

 

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  How to Apply

VISIT ONE OF OUR OPEN ENROLLMENTS

TO PROCESS YOUR HEAD START APPLICATION, THE FOLLOWING INFORMATION IS NEEDED:

  • Birth Certificate - a copy is required.
  • Immunization Record -(if child has not been immunized, please see the doctor first).
  • Income records from most recent full tax year (preferred: tax return, or W2, public assistance, etc.)
  • 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) 283-8127
Toll Free (866) 440-8843