Center Address
7200 Maplewood Dr
Baton Rouge LA 70812
Contact Phone
(225) 355-9776
Head Start Program
BATON ROUGE CITY OF and PARISH
How to Apply
The following information must be submitted with your application:
 Verification of Pregnancy- if applicable (Physician statement indicating trimester, etc.)
 Child’s Birth Certificate
 Child’s Immunization Card (up-to-date)
 Notarized proof of guardianship (if applicable)
 Social Security Cards for each family member
 Child’s Medical Card or Health Insurance Card
 Verification of Disability (if applicable)
 Proof of Income:
 Current Payroll Check Stubs (2 most recent)(2011)
 Income Tax Return - 1040A
 FITAP – Budget Slip
 Social Security Statement
 Social Security Income (SSI)
 Child Support Documents
 Unemployment Compensation
 Self-employed Statement (Notarized)
 Non-Income Verification (Notarized)
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