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Head Start Forms

Head Start - Administrative

  • Confidentiality agreement CCS 9879
  • Directive regarding work hours, leave usage and work attendance CCS 98-160 PDF | Word
  • Exempt Head Start Staff attendance directive CCS 97-173
  • Family service coordinator (FSC) - new employee training documentation CCS 97-174 PDF | Word
  • Head Start Model Release Form CCS 1858 PDF | Word
  • Home visitor - new employee training documentation CCS 97-175 PDF | Word
  • Interview committee recommendations CCS 9899
  • Pandemic agreement form CCS 97-187
  • Practical dress guidelines for early childhood classroom and work environments CCS 98-143
  • Pre-employment medical exam CCS 98-110
  • Pre-employment medical exam instructions CCS 98-118
  • Pre-employment payment voucher CCS 97-184
  • Release of information-Woodridge CCS 9947
  • Standards of conduct agreement CCS 9878
  • Teacher - New employee training documentation CCS 97-177
  • Training request-parent CCS 9890
  • Training/travel request-staff CCS 98-102

Head Start - Education

  • Child development history CCS 98-122
  • Classroom safety plan CCS 9625 PDF | Word
  • Classroom sign-up and sign-out log CCS 9817
  • Curriculum plan review and feedback CCS 98-169
  • Daily communication log CCS 9944
  • Education activity submissions CCS 98-167
  • Field trip permission (group) CCS 9860
  • Field trip permission CCS 9862
  • Infant/toddler daily staffing plan I CCS 9864
  • Kindergarten transition checklist CCS 98-170 PDF | Word

Head Start - ERSEA

  • Authorization to disclose and receive information CCS 9713
  • ERSEA Annual income worksheet CCS 98-173
  • ERSEA Priority Point checklist CCS 98-126 PDF | Word

Head Start - Family Services

  • Consent for screening, assessment and exchange of information CCS 97-150
  • Family Strengths and Partnership Agreement Worksheet (FSPA) CCS 98-129 PDF
  • Language line usage CCS 98-171 PDF | Word
  • Parent Participation Sign-In CCS 9885
  • Policy council child care information form CCS 98-174
  • Records request CCS 98-128
  • Table of contents: Child/family file (CENTER) CCS 98-139

Head Start - Fiscal/Child Care

  • C-CAMPIS Programs child care discount application CCS 98-162 (online) | PDF
  • Child care exceptional fees CCS 9611
  • Child care reimbursement voucher CCS 9853
  • Child care support grant application CCS 98-185 (allows signature and submit)
  • Continuing enrollment agreement CCS 98-134
  • Financial agreement CCS 9610 PDF | Word
  • Request for volunteer vendor number CCS 98-142

Head Start - Health and Safety

  • Dental examination record CCS 9821
  • First-aid kit inventory checklist - kitchen CCS 98-112
  • Flouride Information Handout
  • Parent information: medications at HS/EHS CCS 97-158
  • Release and emergency treatment authorization CCS 9828
  • Topical treatment permission and application log CCS 9810 PDF | Word
  • Well-child examination record CCS 9822

Head Start - In-Kind

  • Community volunteer CCS 9795
  • Donation receipt CCS 9794
  • In-kind individual parent volunteer time form CCS 97-185 PDF | Word
  • In-kind recordsiInteragency meeting CCS 9840
  • Monthly in-kind home learning plan - infant/toddler CCS 98-153 PDF | Word
  • Monthly in-kind home learning plan - preschool CCS 98-151 PDF | Word
  • Parent volunteer hours CCS 9796 PDF | Word

Head Start - Nutrition

  • Food request CCS 97-121
  • Nutrition CACFP infant meal form CCS 98-179
  • Nutrition diet request: Food allergy/Intolerance CCS 98-141 PDF | Word
  • Nutrition diet request: Menu adaptations CCS 98-157 PDF | Word
  • Nutrition request for fluid milk substitution CCS 98-154 PDF | Word
  • Request for special dietary accommodations CCS 98-183 PDF | Word
  • Standard infant menu CCS 98-186
  • USDA child and adult care food program CCS 98-103
  • WIC information request CCS 9757