Information Required for Application Appointments & Map

Please be prepared to bring the following to your appointment:

1-  Proof of Birth for your child* (certified birth certificate preferred, but will accept hospital certificate)

2- Proof of Immunizations for your child*

3- Social Security Card for your child

4- Medical Card for your child (if applicable)

5- Proof of Income for your household for 2011 OR the past 12 months* (this includes any child support statements, wages-  W-2 forms - check stubs -or tax forms, unearned income, unemployment statements, grant/scholarship award letters, SSI/SSD statements, TAFI/TANF, etc.)  
 
6- Written Verification of Disability (if applicable)

(c)2012, Pocatello/Chubbuck Head Start    All Rights Reserved.

This website was made possible by Grant #10-CH-0073 from the US Dept. of Health & Human Services.  Its contents are solely the responsibility of Pocatello/Chubbuck Head Start and do not necessarily represent the official views of the US Dept. of Health & Human Services.   School District #25 is the Grantee for Pocatello/Chubbuck Head Start.  

In accordance with Federal law and U.S. Department of Agriculture (USDA) policy, this institution is prohibited from discriminating on the basis of race, color, national origin, sex, age, or disability.  To file a complaint of discrimination, write USDA Director, Office of Civil Rights, 140 Independence Ave. SW, Washington, DC 20250-9410 or call (800)795-3272 or (202)720-6382(TTY). USDA is an equal opportunity provider and employer.