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
Share Chenango- Early Head Start Recruitment Form