Chenango- Early Head Start Recruitment Form


Early Head Start

By completing this form, it does not mean your child is registered for the Early Head Start Program. This form is used as a "Recruitment Form". For the application to be processed, we will also need: Copy of Child's Birth Certificate Verification of Family Income for the past year (i.e. consecutive pay stubs, W-2, etc) Proof of Residency Any Family Court documents relative to your Child