Enrollment Checklist

2011-2012 APPLICATION CHECKLIST
Print Our Enrollment Checklist

  • COMPLETE REQUALIFICATION FORM
  • SIGNATURE ON BOTH PAGES
  • REMEMBER TO WRITE YOUR NAME ON PAGE 2
  • ENCLOSE COPY OF 2010 FEDERAL TAX RETURN (FORM 1040);
    PAGES 1 & 2 ONLY
  • IF YOU DID NOT FILE A TAX RETURN, HAVE REQUALIFICATION FORM
    NOTARIZED AND SUBMIT W-2 FORMS
  • ENCLOSE A PRINTOUT OF FOOD STAMP BENEFITS THAT YOU
    RECEIVED IN 2010 (PLEASE CONTACT YOUR CASE MANAGER)
  • ENCLOSE A COPY OF COURT ORDER FOR CHILD SUPPORT
  • IF CHILD SUPPORT IS NOT COURT ORDERED, PLEASE ENCLOSE A
    NOTARIZED STATEMENT ABOUT WITH THE ANNUAL AMOUNT
    RECEIVED IN 2010 FOR CHILD SUPPORT.
  • ENCLOSE COPY OF 2010 END OF YEAR SOCIAL SECURITY
    STATEMENT
  • COMPLETED REQUALIFICATION MATERIALS MUST BE RECEIVED BY
    MARCH 31ST
  • YOUR CHILD’S OR CHILDREN’S SCHOOL MUST COMPLETE THE
    SCHOOL COMMITMENT FORM