295 Colonie St
Albany, NY - 12210
Welcome to the Ann Klose First School page. Head Start Program information along with details, maps, and photos are below.
Head Start Program Details, hours, photos, information: Ann Klose First School
Application Process for 2011-2012
Fill out all areas of the attached application (pages 3,4 &5 of this packet).
**Please note: School District Residency and Registration is required for 4 year old UPK classes.
Bring the completed application with all of the supporting documents listed below to the nearest Head Start location listed
on page 2. Copies of your documents will be made and you will be given a receipt. We will not accept incomplete
Be sure to bring:
ChilG V Original Birth Certificate
&KLOG V Current Immunization Record
&KLOG V Health Insurance and/or Medicaid Card (If child has coverage)
Proof of Income (W-2 from last year, Public Assistance Budget Sheet, 4 consecutive weeks worth of pay stubs,
Unemployment Documentation, Child Support Payments, SSI Grant Letter, Foster Care Grant, Tax Form 1040)
Court Papers Verifying Guardianship (if applicable)
You will notice that an ACAP Head Start Physical Exam Form is attached. Please note t
Need More InformationWe always need more information on our offices so we can keep up to date on changes. If you know of any details that we missed, a new website, hours have changed, etc, please add a comment (below the map on this page), with information. We will then display this for all visitors on this page.
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