Registration for the preschool programs
is ongoing through the online application process
PLEASE READ ALL THE INFORMATION!
The following information is required for your child to be enrolled in a program:
- Child's Birth Certificate
- Child's Shot Record
- Child's Social Security
- Proof of Residency
- Proof of Household Income
____ Two (2) consecutive check stubs for EACH PARENT or CAREGIVER IN THE HOUSEHOLD for the current year (within 2 months from the date of filling out this application.) Use tables in the attached Eligibility Guidelines to calculate.
____ An official letter from your employer stating all of the following:
- Where parent/guardian is employed
- Hourly rate of pay
- The average number of hours parent/guardian works per week.
____ SNAP/Food Stamps – must include the child’s name and valid effective dates.
____ A statement from the Social Security Administration verifying that the child listed on the application is a recipient of SSI benefits, which must be accompanied by two current check stubs.
____ Current foster care placement agreement from the Department of Children and Family Services (DCFS)
____ Any adult in the household who claims zero income of any kind must submit a Statement of No Income form. (link to the document is below)
____ Parents or guardians who are employed intermittently, self- employed, or who do not have tax forms, W-2 forms, check stubs, or applicable DCFS printouts to verify their income must submit a Declaration of Income for Irregular Employment form. (link to the document is below)
____ Families in a temporary living arrangement due to loss of housing or economic hardship (homeless).
____ Other: ______________________________________________________________________
May be subject to review.
Note for LA4 Program: Prior year tax documentation is allowable for the proof of income ONLY if no other form of income verification documentation exists. Previous tax years are not allowed.
LA4 Program: Children must be 4 years old on or before September 30 of the current school year. (EX: 2018 for the 2018-2019 school year) The required documents can be dropped off at the school you choose. If you have any questions contact Lisa Franklin at firstname.lastname@example.org.
Head Start 3 & 4 year old PreK: The required documents can be brought to Vernon Parish School Board HEAD START OFFICE, 1409 S 4th Street, Leesville, LA 71446. If you have any questions, please contact Theresa Williams at 337-239-6899 or email@example.com.
Juz Uz Childre Care Center Birth to Five: Please call 337-537-3857 for information. Juz Uz is located at 812 Jeane Chapel Rd, Leesville, LA 71446
This is an application and does not guarantee acceptance into any early childhood program.
To register your child complete the online registration form below.
If you are registering for the current school year (2018-2019) please contact the LA4 Coordiantor Lisa Franklin, 337-537-5145 OR the Head Start office 337-239-6899.
Statement of No Income.pdf - Any adult in the household who claims zero income must submit this form.
Declaration of Irregular Employment.pdf - Any adult in the household who is employed intermittenly, or does not have check stubs or DCFS printouts to verify income, must submit this form.