Head Start Program Forms


Early Head Start & Head Start Program Forms and Informational Handouts

 LaserFiche Forms


 Income Verification Form

FILLABLE FORMS - Can be downloaded, completed, saved and emailed if required

Accident and Incident Report Form

Child Abuse and Neglect Report Form

Child and Adult Care Food Program (CACFP) Forms:

Disabilities & Mental Health Related Forms:

EHS Transition Form

Employee Hepatitis B Vaccination Form (Blood Borne Exposure Form)

External Training Tracker  (MS Excel Document)

Field Trip and Event

Material Requisition Request Form    -     Click here for the Head Start:  Inventory Catalog

MARRS (MN Early Childhood Registration Form)

Medication Administration Packet

Parent Committee Meeting

Staff Emergency Information

Staff In Service Training Record (DHS-4679-ENG)

Sunscreen Permission

Weekly Site Staffing  (MS Word Document)

PRINTABLE FORMS - Download and print.  These forms CAN NOT be filled out electronically.

Bloodborne Exposure Medical Exam Declination for Staff (Blood Borne Exposure Form)

Bus Attendance and Tracking (MS Excel Document)

Child and Adult Care Food Program (CACFP) Enrollment Form

Child and Family Signature Tracking

Children's Dental Service (CDS) Consent Form

Daily Sign In/Out Form

Edinburgh Postnatal Depression Scale (EPDS)

Employee Health Exam Form

Family Self Sufficiency Worksheet

Home Safety Checklist

In Kind - At Home Activity Sheets:

Minneapolis Preschool Screening Instrument (For RESCREEN ONLY)

Pathway 2 Scholarship Application

Paid Time Off (PTO) Pay Out

Post Exposure Medical Evaluation (Blood Borne Exposure Form)

Separation Report

Sign In/Out - Non Parents Form


Informational Handouts

Health Alert Notices:


AEOA Departments

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