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  • Early Head Start/Head Start Application 2023-2024

  •  About the Program/Important Information

    • Scott Carver Dakota CAP offers two programs:
      • Early Head Start is a free, weekly home visiting program for pregnant parents and children age birth to 3 years old. Focus is on parent-child relationships and healthy development.
      • Head Start is a free preschool class for children ages 3-5 years old. All classes are full day, Monday - Thursday. Meals/snacks are provided; however, transportation is not provided. Focus is on kindergarten-readiness.
    • If you need help completing this application, please call 651-322-3500. Hearing impaired use MN Relay Service 1-800-3529.

  • Applicant/Child Information

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  • Health Information

  • Education, Disability, & Behavior Concerns

  • Program Preference

  • Scott-Carver-Dakota CAP offers three programs:

    • Early Head Start - Prenatal
      • 90 minute home visits, every two weeks, provided in-home for expecting parents
    • Early Head Start - Age Birth-3yrs
      • 90 minute weekly home visits, provided in-home
    • Head Start
      • Preschool class for children ages 3-4yrs 11m years old. (Age is the age of the child on September 1st of the program term)

     

    Applications are accepted on a rolling basis.

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    • Click here to add a second applicant/child 

    • Applicant/Child #2 Information

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    • Health Information

    • Education, Disability, & Behavior Concerns

    • Program Preference

    • Scott-Carver-Dakota CAP offers three programs:

      • Early Head Start - Prenatal
        • 90 minute home visits, every two weeks, provided in-home for expecting parents
      • Early Head Start - Age Birth-3yrs
        • 90 minute weekly home visits, provided in-home
      • Head Start
        • Preschool class for children ages 3-4yr11m years old. (Age is the age of the child on September 1st of the program term)

       

      Applications are accepted on a rolling basis.

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  • Primary Parent/Guardian Information

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    • Click here to enter information for second parent/guardian or other adult. 

    • Second Parent/Guardian or Other Adult

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  • Other Household Members

  • Please list all others living in the home, not included above.

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  • Family Information

  • Income Types

  • The federal Office of Head Start sets program eligibility standards.  The following questions help to determine income eligibility.

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    To complete your application, please submit your child's birth certificate and documentation to support income eligibility.

    Your application cannot be completed until we have received these documents.

     

    To submit, you may:

    • attach these documents below,
    • email to headstart@capagency.org, 
    • fax to 651-322-3555, or
    • mail/drop-off at 2496- 145th St W, Rosemount, MN 55068

     

     

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  • Submit

  • 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.

     

    I understand completion of this application does not guarantee acceptance or immediate start date. Information is optional; however, incomplete, or inaccurate information may prevent us from determining your eligibility. 

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