Get Prairie Five Early Head Start Application

Filling out the Prairie Five Early Head Start Application online is an important step in securing valuable early childhood services for your family. This guide provides clear, step-by-step instructions to help you complete the application process with confidence and ease.

Follow the steps to successfully complete your application online.

1. Click ‘Get Form’ button to access the application form and open it in your preferred editing tool.
2. Begin by entering the child’s name in the format of last name, first name, and middle initial. Provide the child's birthdate or due date, and select the appropriate sex from the options provided.
3. Input the social security number for the child and specify the person they live with by selecting one of the options: Both Parents, Mother only, Father only, Grandparents, Mother/Partner, Father/Partner, Foster Parents, or Other (please specify).
4. Indicate any concerns you may have about your child’s development and whether your child has an Individualized Education Program (IEP) by selecting Yes or No.
5. Next, provide the mother’s name, including last name, first name, middle initial, birthdate, social security number, and years of education.
6. Follow this by completing the father’s information in the same format as the mother’s section.
7. Fill in the contact information, including home, cell, and work phone numbers, as well as the home address, city, and zip code.
8. Specify the first language spoken in the home and mention any other languages spoken.
9. Answer whether the child has previously participated in Early Head Start and if any siblings have participated in Early Head Start or Head Start.
10. List names, relationships, social security numbers, dates of birth, and sexes of other household members, as well as their education statuses.
11. Mark the sources of income and other forms of assistance that apply to your household, ensuring to be thorough in your responses.
12. Provide the gross family income and understand that proof of income must accompany the application. Attach copies of your latest tax return or the past three months’ pay stubs as required.
13. Complete the employment status sections for both parents or guardians, including employer names and work schedules for all jobs held.
14. Indicate whether you or the child's other parent attend school or a training program and provide the necessary details.
15. Sign and date the application certifying that the information provided is accurate to the best of your knowledge.
16. Finally, save your changes, download the completed application, and have it ready for submission.

Take the first step towards securing vital early childhood services by completing the Prairie Five Early Head Start Application online today.