~HSCFDC Documentation/Monitoring System~ Request for Head Start Application Utilized to provide prospective HS families with information and the application packet for HS services. It serves as a recruitment tool for HS families. Program Area: 1305 ERSEA Procedures Filled Out By: Parent/Guardian of prospective HS child Title of Form: Related Policy:
Timeline: Specific Directions:
Submitted To: Timeline: Filed In:
As requested throughout the year 1) This form may be completed by interested parties in order to obtain additional HS information and application packets. 2) The form can be dropped off at a local HSCFDC center or mailed to the central office. 3) Upon receipt of the form the central office staff will mail an application packet to the address on the form. 1) Any HS staff 1) As needed Original: Central Office
Note: For duplicate or triplicate forms, please note where each copy of the form is filed.
