Dear Parent(s): Thank you for your interest in enroll your child in Rockingham County School Head Start. Children who meet the following requirements may enroll in the RCS Head Start program: •Child must reside in Rockingham County •Child must be 3 years of age by August 31st Your child application MUST include the following documents attach to be processed: •Birth Certificate •Shot/Immunization Records (Current) •Medicaid/Other Insurance card •Physical (Current) •Income verification for all parents in the household (2023 W2's Forms, 2023) Tax Returns, Child Support, Work First,, Disability, SSI, Financial Aid, etc). •Custody Papers, Divorce Documentation, or any other legal documents relating to the child (if applicable). •SNAP (Approval Letter Preferable or card for verification) •Proof of Address (Bill with current name and address) RCS Head Start is based on a point system. Income is only one portion of the point system. The child's age and family factors will also contribute to the child's total points. If you have any questions please do not hesitate to call us at (336) 548-4780. Thank you, Family Service Department "Ensure school readiness and self-sufficiency for at-risk children and families in Rockingham County”
Primary adult (Mother/Step-Mother/Father/Step-Father/Guardian/Grandparent)
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Only complete this section if the secondary adult is currently living in the home, being supported by the same income and/or related blood marriage, adoption or by temporary placement (Mother/Step-Mother/Father/Step-Father/Guardian/Grandparent).

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Information about the family.
Child that is applying for Head Start. If your child has an IEP or IFSP in place, please place diagnosis along with the services begin and end dates in the note section below.
- Your Address - Available Locations
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Are there other children in the family?

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Required information is missing, see above.