Embedded Files
Child Abuse Information
Child Abuse Information
ERSEA Information
Section One: Enrollment
2026-2027 Child File Checklist
Change of Status - CP
Child Plus Application:
-Family Information, Income, & Contacts
-Applicant & Family Member Information – highlight child’s language
-Applicant Eligibility & Enrollment Info
Application Checklist & Selection Criteria
Head Start Eligibility Verification Form
Income Source - CP documentation: one or more of the following:
-Tax Return, Check Stubs, W-2, etc.
Birth certificate - CP
Social Security card - CP
Photo ID - CP
Proof of Residency - CP
Legal Documents - CP
Optional/Other Forms (district forms)*
Section Two: Health
Consent for Head Start Services - CP
Health Coverage Form - CP
Copy of Insurance - CP
Child Health History - CP
Child Nutrition Assessment - CP
Release of Information-Dental ENGLISH / SPANISH
Release of Information-Physical ENGLISH / SPANISH
Head Start / WIC Permission for Release and Exchange of Information - ENGLISH
Head Start / WIC Permission for Release and Exchange of Information - SPANISH
TDSHS Authorization to Release Laboratory Results ENGLISH / SPANISH
Hemoglobin/Hematocrit results - CP
Lead results - CP
Hearing and Vision Summary -or-
Screener ENGLISH / SPANISH - CP
Immunization record - CP
BMI Letter w/ Growth Charts - CP
In House Referral - CP
Optional/Other Forms*
Section Three: Family Services
Section Four: Parent Involvement
Section Five: Education
DIAL 4
DIAL 4 Parent Questionnaire
DECA Report
Head Start Work Samples first and second
Anecdotal Notes – CP
CLI Progress Monitoring Reports – Wave 1,2,and 3
Home Visit/Parent Conference form – filed at the end of the year - CP
In House Referral - CP
Optional/Other Forms*
Section Six: Mental Health
Parental Consent for Mental Health/Behavioral Services - CP
Progress Notes – CP
In House Referral - CP
Individual Mental Health Observation Form - CP
Individual Positive Guidance Plan/follow up - CP
Optional/Other Forms*
Developing Self Help Skills Handout
Section Seven: Special Education
In House Referral - CP
Local committee documentation (Care team, MTSS)
Parent Permission to evaluate
IFSP/IEP/Section 504 Plans or Disclaimer
Optional/Other Forms*
CIRCLE Progress Monitoring / CLI Engage Information
CIRCLE Progress Monitoring / CLI Engage Information
Handbooks-Staff, Parent
Handbooks-Staff, Parent
Staff Handbook
Policies & Procedures
Policies & Procedures
Fiscal (see Chief Financial Officer / R9 Employee Handbook)
Staff Resources - Teachers, FSW, MHC, Nutrition, & Health
Staff Resources - Teachers, FSW, MHC, Nutrition, & Health
Teachers
Health
COVID 19
Developmental Checklists - Eng and Sp
FLU
LICE
POTTY TRAINING
TOOTHBRUSHING
Mental Health
Training Videos
Training Videos
7 Super Centers7 Super Centers powerpoint
Head Start Dial 3 yr. old.MOVHow to administer the DIAL 4 Assessment
HELPFUL Websites - OHS, eDeca
HELPFUL Websites - OHS, eDeca
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