10-462 |
User Application and Acknowledgement |
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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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15-980 |
School Age License Application |
01-2024 |
English (Word)
English (PDF)
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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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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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09-165 |
Portable Background Check Application |
03-2024 |
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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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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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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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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14-319 |
IV-E Eligibility Determination for an Adoption Support Application |
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English (Word)
English (PDF)
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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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00-005 |
HVSA Expansion Application Template |
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English (Word)
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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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10-464 |
FamLink Access Application and Acknowledgement |
|
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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03-415 |
Facility Short Term Use 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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14-011 |
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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15-377 |
Education and Training Voucher (ETV) Program Dual Credit Application |
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English (Word)
|
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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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15-369 |
Education and Training Voucher (ETV) Program 2024 - 2025 Renewal Application |
08-2023 |
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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05-034 |
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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05-006 |
ECEAP Pre-screen & Application (Combined Form) |
03-2024 |
English_2024-2025
Amharic_2024-2025
Arabic_2024-2025
Dari_2024-2025
Korean_2024-2025
Russian_2024-2025
Somali_2025-2025
Ukrainian_2024-2025
Vietnamese_2024-2025
Spanish_2024-2025
English_2024-2025_Pre-screen
Spanish_2024-2025_Prescreen
English_2024-2025_Application
Spanish_2024-2025_Application
|
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05-032 |
ECEAP Complex Needs Fund Application FY 2024-25 |
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English (Word)
|
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05-026A |
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 Pre-screen and Application |
03-2024 |
English_2024-2025
Spanish_2024-2025
English_2024-2025_Pre-Screen
English_2024-2025_Application
|
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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 |
|
English (Word)
Somali (Word)
Spanish (Word)
|
|
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14-446 |
Declaration of Financial Status for Adoption Support Application |
|
English (Word)
English (PDF)
|
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05-050 |
Citizen Review Panel Membership Application |
|
English (Word)
|
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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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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)
Lingala (PDF)
Oromo (PDF)
Pashtu (PDF)
Portuguese (PDF)
Punjabi (PDF)
Russian (PDF)
Somali (PDF)
Swahili (PDF)
Thai (PDF)
Tigringa (PDF)
Ukrainian (PDF)
Vietnamese (PDF)
|
|
|
14-417 |
CCSP Application |
|
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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09-998 |
Application for the Adoption Support Program and/or Reimbursement of Adoption Finalization Costs |
|
English (Word)
English (PDF)
Ukrainian (PDF)
Vietnamese (PDF)
|
|
|
02-003a |
Application for Provider Supports Subcommittee |
|
English (Word)
Somali (PDF)
Spanish (Word)
Spanish (PDF)
|
|
|
02-003 |
Application for Early Learning Advisory Council |
|
English (Word)
|
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10-408 |
Application for Child Care Agency License or Certification |
|
English (Word)
English (PDF)
|
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14-512 |
Application for Certified Respite Provider |
|
English (Word)
English (PDF)
Spanish (Word)
Spanish (fillable PDF)
|
|
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10-477 |
Adoption Support Program Application Checklist |
|
English (Word)
English (PDF)
|
|
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00-005b |
2023 HVSA Application for Funding Home Visiting Exploration Planning |
|
English (Word)
|
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00-005A |
2022 Spring HVSA Tribal Expansion Funding Application |
|
English (Word)
|
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