Applying for Head Start
To apply for JCCEO's Head Start program, your child must be three years of age by September 1st of the current school year and not more than five years of age before September 1st. Early Head Start participants are selected from pregnancy through 35 months of age. Your family must meet Federally mandated Head Start income guidelines to be considered for the program.
There is no charge for applying or enrolling your child in the Head Start program. However, there is a charge for Before- and After-School care assistance. Eligible parents can apply to Child Care Resource or Child Care Central for financial assistance.
To complete an application for enrollment, you can go to a Head Start-Early Head Start center closest to your home or the JCCEO Headquarters building near Legion Field. If you are not sure of our locations, please call 205-327-7525 additional information.
There are several documents you must bring with you to complete an application.
1. Proof of Age-(Birth certificate, immunization, record, etc.)
2. Social Security cards for members of the child's immediate family
3. Income verification for the period (previous 12 months)
(CLICK HERE TO DOWNLOAD NON-INCOME VERIFICATION DECLARATION FORM)
a. Income Verification
· W-2 forms for the period (2018)
· Check Stubs
· TANF award letter
· SSI or Social Security verification letter
· Tax returns from a tax preparer
· Child support documentation
(CLICK HERE TO DOWNLOAD CHILD SUPPORT DECLARATION FORM)
· Self-employment Statement
· Unemployment compensation
(CLICK HERE TO DOWNLOAD SELF-EMPLOYMENT INCOME DECLARATION FORM)
b. Proof of Residency
· (Lease, Deed, or Proof of Residency Form
(CLICK HERE TO DOWNLOAD PROOF OF RESIDENCY FORM),
and current utility bill
4. WIC Card (if applicable)
5. Medicaid card, ALLKIDS card, private or other medical insurance documentation (if applicable).
To apply, fill out the form below or call
Fill out below to apply.
We appreciate your interest in our Head Start-Early Head Start program and we look forward to providing you and your family with the best Head Start experience possible.
Child Development Services
JCCEO300 Eighth Avenue, WestBirmingham, Alabama 35204-3039Phone: 205-327-7500Fax: 205-326-4179
JCCEO considers applicants for all services without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation, or any other legally protected status.USDA Non-Discrimination StatementIn accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, sex, disability, age, or reprisal or retaliation for prior civil rights activity in any program or activity conducted or funded by USDA.
Persons with disabilities who require alternative means of communication for program information (e.g. Braille, large print, audiotape, American Sign Language, etc.), should contact the Agency (State or local) where they applied for benefits. Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English.
To file a program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, (AD-3027) found online at http://www.ascr.usda.gov/complaint_filing_cust.html and at any USDA office, or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by:
1) Mail: U.S. Department of AgricultureOffice of the Assistant Secretary for Civil Rights1400 Independence Avenue, SWWashington, D.C. 20250-9410;(2) Fax: (202) 690-7442; or(3) Email: email@example.com
This Institution is an equal opportunity provider.
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