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This document serves as an application form for families seeking enrollment in the Head Start or Early Head Start programs. It captures critical family and applicant details, eligibility criteria,
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How to fill out hsehs application for services

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How to fill out HS/EHS ‐ Application for Services

01
Gather necessary documents such as proof of income, identification, and residency.
02
Obtain the HS/EHS Application for Services form from the appropriate agency or website.
03
Fill out personal information, including name, address, and contact details.
04
Provide information about family size and household income.
05
Complete any additional sections related to child’s health and development needs.
06
Review the application for accuracy and completeness.
07
Submit the application in person or via the designated method (mail or online).
08
Follow up with the agency to confirm receipt and inquire about the status.

Who needs HS/EHS ‐ Application for Services?

01
Families with children aged 0-5 who meet income eligibility requirements.
02
Expectant mothers seeking prenatal support and resources.
03
Low-income families in need of early childhood education and development services.
04
Families facing challenges related to health, nutrition, or education for their young children.
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HS/EHS - Application for Services is a formal request process for accessing health and educational services provided by the Home Services or Early Head Start programs.
Parents or guardians of eligible children who wish to access services through the Home Services or Early Head Start programs are required to file the application.
To fill out the HS/EHS - Application for Services, applicants must provide personal information about the child and family, including income details, household composition, and specific needs related to services.
The purpose of the HS/EHS - Application for Services is to gather necessary information to determine eligibility for services, ensuring that families receive appropriate support based on their needs.
The information that must be reported includes child's name and date of birth, family income, number of household members, contact information, and any special requirements or considerations for services.
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