Fifth Ward Elementary Head Start

8184 Villavaso Street
Saint James, LA - 70086

(225) 258-4680


Necessary Documentation: 

   1.) A copy of an original birth certificate 
   2.) Proof of residency (You will need to bring two pieces of documentation to document legal residency)  
          ____ Act of Sale/Mortgage for home or lease agreement/rental contract on company letter head
          ____ Voter’s Registration Card (Showing name and addess)
          ____ Electric bill  
          ____ Tax Assessor’s Bill      
   3.) A copy of court record to verify legal guardianship, if applicable
   4.) A copy of student’s social security card
   5.) A copy of your child’s immunization records
             West Bank Site--St. James Parish Health Unit – Friday 8 AM-10: 30 AM by appointment only
   6.) Proof of income
          ____Two (2) consecutive check stubs for EACH PARENT or CAREGIVER IN THE HOUSEHOLD for  
                 the current year (within 2 months from the date filling out this application).
          ____An official letter from your employer stating all of the following:

                    Where parent/guardian is employed, hourly rate of pay, the average number of hours a parent/guardian works per week.

          ____Snap /Food Stamps-must include the child’s name and valid effective dates.
          ____A statement from the Social Security Administration verifying that the child listed on the  
                 application is a recipient of SSI benefits, which must be accompanied by two current check 
                 stubs.
           ____Current foster care placement agreement from DCFS
           ____Families who claim zero income of any kind must submit a Statement of No Income form.
           ____Parents or guardians who are employed intermittently, self-employed, or who do not have tax  
                    forms, W-2 forms, check stubs, or applicable DCFS printouts to verify  their income must submit a  
                    Declaration of Income for Irregular Employment form.
           ____ Families in temporary living arrangement due to loss of housing or economic hardship ( homeless).   
                   Community Network should follow LEA-defined procedures for verifying homeless status.
           ____Other: ________________________________________________________________________________________
                   (May be subject to review. Note: 2018 tax documentation is allowable only if no other form of income  
                    verification documentation exists. Previous tax years are not allowed.)
    7.) Copy of Parent ‘s Louisiana Driver’s license or State –issued ID Card






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