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Get the free DHS/Head Start Contract Eligibility Check List

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The DHS/Head Start Contract Eligibility Check List is used by both Head Start and DHS staff to document contract slot requests, approvals, and denials. This form provides a standard communication
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How to fill out dhshead start contract eligibility

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How to fill out DHS/Head Start Contract Eligibility Check List

01
Obtain a copy of the DHS/Head Start Contract Eligibility Check List.
02
Gather all necessary documentation to support the eligibility criteria, such as income verification, proof of residency, and any required identification.
03
Review the eligibility criteria outlined in the checklist to ensure you meet all requirements.
04
Complete each section of the checklist carefully, providing all required information and attaching the necessary documents.
05
Double-check your entries for accuracy and completeness.
06
Submit the completed checklist and any attached documents to the appropriate DHS or Head Start office by the specified deadline.

Who needs DHS/Head Start Contract Eligibility Check List?

01
Families applying for Head Start programs seeking federal funding.
02
Providers assessing eligibility for services under the DHS/Head Start program.
03
Social workers and case managers assisting families in the application process.
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There are three key areas of Early Head Start's support: child care, health support for children, and prenatal, pregnancy, and postpartum support for families. Early Head Start provides extensive, quality child care options to meet the needs of working parents.
Head Start leads to positive and large gains in vocabulary knowledge and receptive language skills during the preschool period, particularly for children with low achievement levels and for Spanish-language speakers.
Children from birth to age five who are from families with incomes below the poverty guidelines are eligible for Head Start services.
(1) To verify eligibility based on income, program staff must use tax forms, pay stubs, or other proof of income to determine the family income for the relevant time period.
Head Start/Early Head Start 2025 Family Gross Income Guidelines 1/17/25 Size of FamilyAnnual Income 100%**Annual Income 130% 6 $43,150 $56,095 7 $48,650 $63,245 8 $54,150 $70,395 For Family units with more than 8 members, add $5,500-$7,150 for each additional member5 more rows
(1) To verify eligibility based on income, program staff must use tax forms, pay stubs, or other proof of income to determine the family income for the relevant time period. (i) The program must calculate total gross income using applicable sources of income.

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The DHS/Head Start Contract Eligibility Check List is a document used to ensure that individuals or organizations meet all the necessary requirements and qualifications to be eligible for participation in the DHS and Head Start programs.
Providers or organizations intending to apply for or renew their contract with DHS or Head Start must file the eligibility check list.
To fill out the DHS/Head Start Contract Eligibility Check List, applicants should carefully read the instructions, provide accurate and complete information regarding their qualifications and compliance with eligibility criteria, and submit the document as required.
The purpose of the DHS/Head Start Contract Eligibility Check List is to systematically assess and verify that applicants meet all eligibility criteria and standards necessary for participation in the programs.
The information reported on the DHS/Head Start Contract Eligibility Check List includes details about the organization, financial statements, background checks, program qualifications, and compliance with all state and federal regulations.
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