Head Start Application

(Choose one: current household water, electricity, or gas bill, original deed / contract of sale, current lease, current mortgage statement, or current property tax bill)

(Choose one: current household water, electricity, or gas bill, original deed / contract of sale, current lease, current mortgage statement, or current property tax bill)

(Choose one: current household water, electricity, or gas bill, original deed / contract of sale, current lease, current mortgage statement, or current property tax bill)

(Choose one: current household utility bill different from #1, current paystub AND telephone, cable or internet bill, monthly benefits / bank statement, monthly insurance documents, document mailed from state or federal agency)

(All that apply: Income tax form 1040, W2, current pay stubs, TANF documentation, SSI documentation, unemployment, foster care reimbursement, written letter of verification from employer)

(All that apply: Income tax form 1040, W2, current pay stubs, TANF documentation, SSI documentation, unemployment, foster care reimbursement, written letter of verification from employer)

(All that apply: Income tax form 1040, W2, current pay stubs, TANF documentation, SSI documentation, unemployment, foster care reimbursement, written letter of verification from employer)