20-270 |
Juvenile Justice System Improvement Technical Assistance Grant Application |
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English (Word)
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20-017 |
JR Marriage Application |
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English (Word)
English (PDF)
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16-010 |
Parental Advisory Group (PAG) Cover Letter and Application |
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English (Word)
Somali (fillable PDF)
Spanish (fillable PDF)
Spanish (Word)
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15-980 |
School Age License Application |
01-2024 |
English (Word)
English (PDF)
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15-955 |
Family Home and Center Child Care License or Certification Application |
01-2024 |
English (Word)
English (PDF)
Somali (PDF)
Spanish (PDF)
Spanish (Word)
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15-889 |
Sample Application for Employment or Volunteer Services Licensed or Certified Early Learning/Child Care Program |
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English (Word)
English (PDF)
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15-835 |
Outdoor Nature-Based Child Care License or Certification Application |
01-2024 |
English (Word)
Spanish (Word)
Spanish (PDF)
Somali (PDF)
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15-377 |
Education and Training Voucher (ETV) Program Dual Credit Application |
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English (Word)
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15-369 |
Education and Training Voucher (ETV) Program 2024 - 2025 Renewal Application |
08-2023 |
English (Word)
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14-548 |
Independent (IL) / Transitional Living (TL) Grant Application |
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English (Word)
English (PDF)
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14-545 |
Extended Adoption Support Application |
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English (Word)
English (PDF)
Spanish (Word)
Spanish (PDF)
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14-531A |
Education and Training Voucher (ETV) Program and Passport to Careers Program Application Consent |
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English (Word)
English (PDF)
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14-531 |
Education and Training Voucher (ETV) Program and Passport to Careers Program 2024 – 2025 Application |
08-2023 |
English (Word)
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14-512 |
Application for Certified Respite Provider |
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English (Word)
English (PDF)
Spanish (Word)
Spanish (fillable PDF)
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14-446 |
Declaration of Financial Status for Adoption Support Application |
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English (Word)
English (PDF)
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14-430 |
CCSP Child Care Reapplication |
08-2022 |
English (Word)
Albanian (PDF)
Arabic (PDF)
Cambodian (PDF)
Chamarro (PDF)
Chinese (PDF)
Dari (PDF)
Farsi (PDF)
French (PDF)
French (PDF)
Haitian-Creole (PDF)
Hindi (PDF)
Italian (PDF)
Korean (PDF)
Oromo (PDF)
Pashtu (PDF)
Portuguese (PDF)
Punjabi (PDF)
Russian (PDF)
Somali (PDF)
Swahili (PDF)
Thai (PDF)
Tigringa (PDF)
Ukrainian (PDF)
Vietnamese (PDF)
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14-417 |
CCSP Application |
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English (Word)
Albanian (PDF)
Amharic (PDF)
Chinese (PDF)
Dari (PDF)
French (PDF)
Korean (PDF)
Pashtu (PDF)
Russian (PDF)
Somali (PDF)
Spanish (PDF)
Spanish (Word)
Vietnamese (PDF)
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14-319 |
IV-E Eligibility Determination for an Adoption Support Application |
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English (Word)
English (PDF)
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14-281 |
Source of Funds Application for Child in Placement |
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English (Word)
English (PDF)
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14-255 |
Early Childhood Equity Grant Application |
02-2024 |
English (Word)
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14-025 |
Early Achievers Extension Application |
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English (Word)
Somali (Word)
Spanish (Word)
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14-011 |
Enrollment Application Medical and Dental Benefits |
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English (PDF) If using chrome, save form to desktop before filling in form
Somali (PDF)
Spanish (PDF)
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10-477 |
Adoption Support Program Application Checklist |
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English (Word)
English (PDF)
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10-464 |
FamLink Access Application and Acknowledgement |
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English (Word)
English (PDF)
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10-462 |
User Application and Acknowledgement |
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English (Word)
English (PDF)
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10-408 |
Application for Child Care Agency License or Certification |
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English (Word)
English (PDF)
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10-354 |
Home Study or Reassessment Application |
11-2022 |
English (Word)
Amharic (PDF)
Marshallese (PDF)
Maay Maay (PDF)
Oromo (PDF)
Samoan (PDF)
Somali (PDF)
Soninke (PDF)
Spanish (Word)
Spanish (PDF)
Tigrigna (PDF)
Trukese (PDF)
Vietnamese (PDF)
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09-998 |
Application for the Adoption Support Program and/or Reimbursement of Adoption Finalization Costs |
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English (Word)
English (PDF)
Ukrainian (PDF)
Vietnamese (PDF)
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09-165 |
Portable Background Check Application |
03-2024 |
English (PDF)
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07-110 |
Child Care Stabilization Grant Application – Family, Friend, and Neighbor (FFN) License- Exempt Providers |
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English (PDF)
Somali (fillable PDF)
Spanish (fillable PDF)
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05-050 |
Citizen Review Panel Membership Application |
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English (Word)
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05-034 |
ECLIPSE RFA Applications and Guides |
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Request for Application References
Budget Form
ECLIPSE Request for Application Guide
ECLIPSE Minimum Service Delivery Requirements Table
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05-032 |
ECEAP Complex Needs Fund Application FY 2024-25 |
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English (Word)
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05-027 |
ECLIPSE Services Application Packet |
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Exhibit D: Startup Budget
Exhibit E: ECLIPSE Services Application Form
Exhibit F: Certifications and Assurances
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05-026A |
ECEAP and B-3 Services Application |
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Exhibit A: ECEAP and B-3 Services Application
Exhbit B: Letters of Support and Collaboration
Exhibit C: Coordination with Neighboring Head Start/ECEAP and Tribal Organizations (Scored)
Exhibit D: Budget
Exhibit F: Certifications and Assurances
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05-008 |
Early ECEAP Prescreen & Application (Combined Form) |
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2023-2024 Combine Pre-screen and Application
Spanish Pre-screen (fillable PDF)
Spanish 2023-2024 Application (fillable PDF)
Spanish Combined 2023-2024 (fillable PDF)
Spanish Pre-screen (fillable PDF)
Spanish 2023-2024 Application (fillable PDF)
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05-006 |
ECEAP Pre-screen & Application |
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2023-2024 Combined Pre-screen and Application
2023-2024 Pre-screen (English PDF)
2023-2024 Application
2023-2024 Amharic Combined Pre-screen and Application
2023-2024 Arabic Combined Pre-screen and Application
2023-2024 Korean Combined Pre-screen and Application
2023-2024 Russian Combined Pre-screen and Application
2023-2024 Spanish Combined Pre-screen and Application
2023-2024 Spanish Pre-screen
2023-2024 Spanish Application
2023-2024 Ukranian Combined Pre-screen and Application
2023-2024 Vietnamese Combined Pre-screen and Application
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05-003 |
Provider Application Form |
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English (Word)
English (PDF)
Somali (Word)
Somali (PDF)
Spanish (Word)
Spanish (PDF)
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03-415 |
Facility Short Term Use Application |
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English (Word)
English (PDF)
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02-003b |
Parent Advisory Group (PAG) Application |
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English (Word)
Somali (Word)
Somali (PDF)
Spanish (Word)
Spanish (PDF)
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02-003a |
Application for Provider Supports Subcommittee |
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English (Word)
Somali (PDF)
Spanish (Word)
Spanish (PDF)
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02-003 |
Application for Early Learning Advisory Council |
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English (Word)
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00-005b |
2023 HVSA Application for Funding Home Visiting Exploration Planning |
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English (Word)
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00-005A |
2022 Spring HVSA Tribal Expansion Funding Application |
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English (Word)
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00-005 |
HVSA Expansion Application Template |
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English (Word)
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