Headstart Enrollment Form
Confidentiality Statement: This information is being requested on a voluntary basis. However, some information is required in order to determine eligibility. All information disclosed will be used only by those persons related to the program and who are on a need to know basis
Who: All children who are 3 or years old on or before July 1, 2020.
How: All applications will be stamped with the date they are received in the Office of Elementary Education. This date will be used to place children in preschool on a first come, first served basis.
All applications are put through a selection process once received.
When: Family Sevice Workers will contact you to set-up upon enrollment appointment.
**At the time of actual enrollment, parents must present evidence of:
- Up-to-date shot record a birth certificate from the Department of Vital Statistics in the state where the child was born (hospital or county birth certificates are not accepted).
- Current WV Health Check form from the child's heath care provider
- Cerification of a dental exam within the last 12 months
- Proof of income for Head Start eligibility.