Piketon Site, a Head Start Center of Piketon, OH

Center Address
941 Market St
Piketon OH 45661
Contact Phone
(740) 289-2371
Head Start Program
Community Action Committee of Pike County
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How to Apply
Early Childhood Enrollment Applications You will need Adobe Acrobat Reader to open the links on this page. If you do not have Adobe Acrobat Reader installed, click the Get Acrobat link below to download. EARLY CHILDHOOD PROGRAM APPLICATION : http://www.pikecac.org/EarlyChildhood/EARLY_CHILDHOOD_PROGRAM_application_REVISED_05-03-12.pdf PRENATAL EARLY HEAD START APPLICATION : http://www.pikecac.org/EarlyChildhood/EARLY_CHILDHOOD_PROGRAM_application_REVISED_05-03-12.pdf Things to bring for enrollment: Proof of Income (i.e. Pay stubs, W-2 form, 1040 tax form, child support information, social security benefits, unemployment information, written statement from employer) Copy of any legal custody/guardianship papers (if applicable) Proof of Medical Insurance for child applying (i.e. Private insurance, Ohio Medicaid/Healthy Start) (if applicable) Copy of the applying child’s birth certificate Copy of the applying child’s social security card Copy of the applying child’
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