Head Start

 

The following is a list of original documentation required to determine family eligibility and placement:

1. Picture I.D. of The Parents/Legal Guardians

2. Birth Date Verification

Original Birth Certificate, or
Adoption Papers, or
Baptismal Record, or
Hospital Birth Record

3. Immunization Record

New Immunizations Regulation effective 7/01/2019

http://eziz.org/assets/docs/IMM-222ChildCare.pdf

4. Proof of Residency

Documentation proving current residency within SJUSD boundaries must be provided at the time of eligibility and placement. Acceptable documentation:

Gas, water, electric, trash bill (no telephone or cable will be accepted), or
Lease agreement or closing escrow papers, or
Mortgage statement, or
DPSS statement
The documentation must be dated no later than thirty (30) days prior to registration and must show the parent/guardian’s name and current address in the San Jacinto Unified School District. If acceptable current proof of residency cannot be shown, a Residency of Affidavit will be required. (Form available upon request).

In lieu of utility bill, we will accept a letter of intent for hook-up services from the gas, water, or electric company with escrow or lease agreements.

5. Signature of Parent/Legal Guardian

6. Physical Exam - must have been performed within the past 12 months and show proof of a physical examination.
A copy of the physical exam (showing, HGB, Lead ) is required at the time of registration.

 

7. Dental Exam - must have been performed within the past 12 months. 

 

8. Medical Insurance Card

 

9. Verification of Income (Please supply all documents that apply, must be current within last 30 days)

 

*Additional documentation may be required*