Application Completion Guide


FileAction
Third party verification statement - Income.docx  Download 
Third party verification statement - Housing.docx  Download 
Program Options Sheet - Updated 2.13.15.doc  Download 
Health Envelope-Spanish.doc  Download 
Health Envelope.doc  Download 
Family Self-Declaration Page.docx  Download 
Consent to release information.doc  Download 
Consent to Release Information - WP.doc  Download 
Consent to release information - WDM UPK.doc  Download 
Consent to release information - Waukee UPK.doc  Download 
Consent to release information - Urbandale UPK.doc  Download 
Consent to release information - SE Polk UPK.doc  Download 
Consent to release information - Newton UPK.doc  Download 
Consent to release information - Madrid UPK.doc  Download 
Consent to release information - Knoxville UPK.doc  Download 
Consent to release information - Johnston UPK.doc  Download 
Consent to release information - Indianola UPK.doc  Download 
Consent to release information - DMPS UPK.doc  Download 
Consent to release information - Boone UPK.doc  Download 
Consent to release information - B-F UPK.doc  Download 
Consent to release information - Ankeny UPK.doc  Download 
Consent to release information - Ames UPK.doc  Download 
Consent to Release Info-SAMPLE.doc  Download 
Application Receipt-Spanish.doc  Download 
Application Receipt.doc  Download 
application envelope.doc  Download 
Application Contact Record addendum.doc  Download 
Application Contact Record.doc  Download 
Application Completion Guide - WP.doc  Download 

Version
Total Files29
Create DateAugust 6, 2015
Last UpdatedAugust 11, 2015
Download Package (zip file)

Purpose

Facilitate accurate documentation of application information to ensure prompt completion of the application process and the efficient acceptance of pregnant women and children for enrollment into Head Start/Early Head Start.



Associated Standards
1305.5
Elig, Recruit, Selection, Enroll and Attendance
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