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About / How to Apply
Early Childhood Enrollment Applications
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EARLY CHILDHOOD PROGRAM APPLICATION : http://www.pikecac.org/EarlyChildhood/EARLY_CHILDHOOD_PROGRAM_application_REVISED_05-03-12.pdf
PRENATAL EARLY HEAD START APPLICATION : http://www.pikecac.org/EarlyChildhood/EARLY_CHILDHOOD_PROGRAM_application_REVISED_05-03-12.pdf
Things to bring for enrollment:
Proof of Income
(i.e. Pay stubs, W-2 form, 1040 tax form, child support information, social security benefits, unemployment information, written statement from employer)
Copy of any legal custody/guardianship papers
(if applicable)
Proof of Medical Insurance for child applying
(i.e. Private insurance, Ohio Medicaid/Healthy Start) (if applicable)
Copy of the applying child’s birth certificate
Copy of the applying child’s social security card
Copy of the applying child’
The overall goal of the Community Action Committee of Pike Co., Early Childhood Program is to bring about a greater degree of social competence in children. Social competence means the child’s everyday effectiveness in…
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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.