| 00-005 |
HVSA Expansion Application Template |
|
English (Word)
|
|
|
| 00-005A |
2022 Spring HVSA Tribal Expansion Funding Application |
|
English (Word)
|
|
|
| 00-005b |
2023 HVSA Application for Funding Home Visiting Exploration Planning |
|
English (Word)
|
|
|
| 02-003 |
Application for Early Learning Advisory Council |
|
English (Word)
|
|
|
| 02-003a |
Application for Provider Supports Subcommittee |
|
English (Word)
Somali (PDF)
Spanish (Word)
Spanish (PDF)
|
|
|
| 02-003b |
Parent Advisory Group (PAG) Application |
|
English (Word)
Somali (Word)
Somali (PDF)
Spanish (Word)
Spanish (PDF)
|
|
|
| 03-415 |
Facility Short Term Use Application |
|
English (Word)
English (PDF)
|
|
|
| 05-003 |
Provider Application Form |
|
English (Word)
English (PDF)
Somali (Word)
Somali (PDF)
Spanish (Word)
Spanish (PDF)
|
|
|
| 05-006 |
ECEAP Pre-screen & Application (Combined Form) |
03-2024 |
English_2024-2025
Amharic_2024-2025
Arabic_2024-2025
Korean_2024-2025
Russian_2024-2025
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
|
|
|
| 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
|
|
|
| 05-026A |
ECEAP and B-3 Services Application |
|
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
|
|
|
| 05-027 |
ECLIPSE Services Application Packet |
|
Exhibit D: Startup Budget
Exhibit E: ECLIPSE Services Application Form
Exhibit F: Certifications and Assurances
|
|
|
| 05-032 |
ECEAP Complex Needs Fund Application FY 2024-25 |
|
English (Word)
|
|
|
| 05-034 |
ECLIPSE RFA Applications and Guides |
|
Request for Application References
Budget Form
ECLIPSE Request for Application Guide
ECLIPSE Minimum Service Delivery Requirements Table
|
|
|
| 05-050 |
Citizen Review Panel Membership Application |
|
English (Word)
|
|
|
| 07-110 |
Child Care Stabilization Grant Application – Family, Friend, and Neighbor (FFN) License- Exempt Providers |
|
English (PDF)
Somali (fillable PDF)
Spanish (fillable PDF)
|
|
|
| 09-165 |
Portable Background Check Application |
03-2024 |
English (PDF)
|
|
|
| 09-998 |
Application for the Adoption Support Program and/or Reimbursement of Adoption Finalization Costs |
|
English (Word)
English (PDF)
Ukrainian (PDF)
Vietnamese (PDF)
|
|
|
| 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)
|
|
|
| 10-408 |
Application for Child Care Agency License or Certification |
|
English (Word)
English (PDF)
|
|
|
| 10-462 |
User Application and Acknowledgement |
|
English (Word)
English (PDF)
|
|
|
| 10-464 |
FamLink Access Application and Acknowledgement |
|
English (Word)
English (PDF)
|
|
|
| 10-477 |
Adoption Support Program Application Checklist |
|
English (Word)
English (PDF)
|
|
|
| 14-011 |
Enrollment Application Medical and Dental Benefits |
|
English (PDF) If using chrome, save form to desktop before filling in form
Somali (PDF)
Spanish (PDF)
|
|
|
| 14-025 |
Early Achievers Extension Application |
|
English (Word)
Somali (Word)
Spanish (Word)
|
|
|
| 14-255 |
Early Childhood Equity Grant Application |
02-2024 |
English (Word)
|
|
|
| 14-281 |
Source of Funds Application for Child in Placement |
|
English (Word)
English (PDF)
|
|
|
| 14-319 |
IV-E Eligibility Determination for an Adoption Support Application |
|
English (Word)
English (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)
|
|
|
| 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)
|
|
|
| 14-446 |
Declaration of Financial Status for Adoption Support Application |
|
English (Word)
English (PDF)
|
|
|
| 14-512 |
Application for Certified Respite Provider |
|
English (Word)
English (PDF)
Spanish (Word)
Spanish (fillable PDF)
|
|
|
| 14-531 |
Education and Training Voucher (ETV) Program and Passport to Careers Program 2024 – 2025 Application |
08-2023 |
English (Word)
|
|
|
| 14-531A |
Education and Training Voucher (ETV) Program and Passport to Careers Program Application Consent |
|
English (Word)
English (PDF)
|
|
|
| 14-545 |
Extended Adoption Support Application |
|
English (Word)
English (PDF)
Spanish (Word)
Spanish (PDF)
|
|
|
| 14-548 |
Independent (IL) / Transitional Living (TL) Grant Application |
|
English (Word)
English (PDF)
|
|
|
| 15-369 |
Education and Training Voucher (ETV) Program 2024 - 2025 Renewal Application |
08-2023 |
English (Word)
|
|
|
| 15-377 |
Education and Training Voucher (ETV) Program Dual Credit Application |
|
English (Word)
|
|
|
| 15-835 |
Outdoor Nature-Based Child Care License or Certification Application |
01-2024 |
English (Word)
Spanish (Word)
Spanish (PDF)
Somali (PDF)
|
|
|
| 15-889 |
Sample Application for Employment or Volunteer Services Licensed or Certified Early Learning/Child Care Program |
|
English (Word)
English (PDF)
|
|
|
| 15-955 |
Family Home and Center Child Care License or Certification Application |
01-2024 |
English (Word)
English (PDF)
Somali (PDF)
Spanish (PDF)
Spanish (Word)
|
|
|
| 15-980 |
School Age License Application |
01-2024 |
English (Word)
English (PDF)
|
|
|
| 16-010 |
Parental Advisory Group (PAG) Cover Letter and Application |
|
English (Word)
Somali (fillable PDF)
Spanish (fillable PDF)
Spanish (Word)
|
|
|
| 20-017 |
JR Marriage Application |
|
English (Word)
English (PDF)
|
|
|
| 20-270 |
Juvenile Justice System Improvement Technical Assistance Grant Application |
|
English (Word)
|
|
|
