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About / How to Apply
Child Enrollment Application
To apply, please complete the following application.
Each application must have the following to be completely processed and considered for enrollment:
A. Verification of income of the family (Which includes any of the following):
Proof of income for the last 12 months (pay stubs)
Tax forms from the prior calendar year
Proof of TANF or KTap
Proof of Social Security Benefits
Proof of Supplemental Security Income
Child Support
Unemployment
Foster Care / Kinship Care
B. Proof of birth for children 3 or 4 years of age by October 1, of the enrollment year:
Hospital Documentation, Certified Birth Certificate, Passport Card, etc…
In order to process your child’s application, it must have proof of income and proof of birth. Information collected will be used to determine your child’s eligibility. Once you have completed the application, please submit it to the address at the top of the application. Central Kentucky Head Start serves 520 children
The mission of the Central Kentucky Community Action Council Head Start program is to utilize a positive team effort to enhance the lives of Head Start children and their families by supporting and enriching the…
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Please do not submit: Social Security numbers, birth certificates, income or tax documents,
medical records, immigration documents, benefit-account details, or other official application materials through
this form. Official enrollment documents must be submitted directly to the local Head Start program.