Early Head Start/Head Start Application 2022-2023
About the Program/Important Information
Scott-Carver-Dakota CAP offers three programs:
Applications are accepted on a rolling basis. At this time you may apply for 2021-2022 (start soon, as space allows) and/or 2022-2023 (start late-August/September 2022).
Please list all others living in the home, not included above.
The federal Office of Head Start sets program eligibility standards. The following questions help to determine income eligibility.
To verify income eligibility, please submit documents to show the above income.
Examples include: copies of prior year W2 or Federal Income Tax Forms, 3 months of pay stubs, Unemployment deposit slips, MFIP award letter, SSI verification, child support or alimony documents, foster care placement form, etc.
Please also submit a copy of your child's birth certificate.
Your application cannot be completed until we have received these documents.
To submit, you may:
Your right to privacy is protected by the federal Privacy Act of 1974 and the Minnesota Government Data Practices Act. Private information included on this application will be used to determine your program eligibility and to guide program services. Information may be shared with government agencies, including the Office of Head Start and MN Department of Human Services. You are not required to provide this information. However, failure to answer the questions may impact our ability to determine your program eligibility.
I certify that the answers given are true and complete to the best of my knowledge. I agree to contact CAP Head Start if the information changes.