ochs head start (hs) thank you for your interest in orange ... checklist2015-16b.pdf · santa ana,...
TRANSCRIPT
ERSEA PLAN 2015-2016
OCHS Head Start (HS) and Early Head Start
(EHS) Centers
Baden Powell HS*/** 801 S. Gaymont St. Anaheim, CA 92804
714-236-4224
Buena Park HS*/** 6725 Dale St.
Buena Park, CA 90621 714-521-1909
Buena Park EHS**
6625 Dale St. Buena Park, CA 90621
714-367-1111
Capo HS* 31485 El Camino Real
San Juan Capistrano, CA 92675
949-661-8029
Carver HS* 11150 Santa Rosalia St.
Stanton, CA 90680 714-241-8920
Centralia HS*/**
6627 La Cienega Dr. Buena Park, CA 90620
714-228-9004
Crescent HS/EHS*/** 5600 Crescent Ave.
Buena Park, CA 90620 714-699-5930
Delhi HS*
505 E. Central Ave. Santa Ana, CA 92707
714-361-8866
E.L.V. HS* 32204 Del Obispo St.
San Juan Capistrano, CA 92675
949-661-5243
Franklin HS* 506 South Janss St. Anaheim, CA 92805
714-241-8920
Fourth St. EHS** 1626 E. 4th St.
Santa Ana, CA 92701 714-619-7900
Fullerton HS*
341 S. Courtney Ave. Fullerton, CA 92833
714-447-3005
Hope HS* 13841 Milton Ave. Westminster, CA
92683 714-230-3832
Jeanne Hardy HS* 17175 Emerald Ln. Huntington Beach,
CA 92647 714-842-1221
K.I.D.S. HS/EHS*/**
1002 W. 2nd St. Santa Ana, CA 92703
714-541-8164
Martin HS* 1008 W. Russell Ave. Santa Ana, CA 92707
714-427-1290
Matt Kline HS* 2043 Meyer Pl.
Costa Mesa, CA 92627 949-548-4480
Placentia HS*
840 S. Melrose St. Placentia, CA 92870
714-632-8787
Ruby Drive HS/EHS*/** 601 Ruby Dr.
Placentia, CA 92870 714-854-8787
Schweitzer HS* 211 S. Dale Ave.
Anaheim, CA 92804 714-229-8790
Stanton HS*
8050 Chapman Ave. Stanton, CA 90680
714-230-3814
Topaz HS/EHS*/** 1600 Sapphire Rd. Fullerton, CA 92831
714-854-1534
Walter HS* 9200 Pacific Place
Anaheim, CA 92804 714-761-4967
Application Documentation Checklist
Thank you for your interest in Orange County Head Start Inc.’s (OCHS) School Readiness Program. The following documents are needed in order for us to process your application:
Proof of Birth Date
Birth Certificate
Passport
Hospital Birth Certificate
Foster Care Documents
Court orders regarding child custody
Adoption Documents
Proof of Pregnancy - Physician Letter Proof of Income (one year of income or, at minimum, one month of income for each
1040 Income Tax Return 2014 parent in the household) All 2014 W-2s
Pay stubs (one year of income or, at minimum, one month of income) (cannot be older than
one month from the date of the complete application)
SSI (must be less than 3 months old from the date of the complete application)
TANF (must be less than 3 months old from the date of the complete application)
Adoption Assistance (cannot be older than one month from the date of the complete applica-
tion)
Foster Care Documents
Grants/Scholarships (per semester or quarter)
Child Support (cannot be older than one month from the date of the complete application)
Unemployment (cannot be older than one month from the date of the complete application)
Disability (cannot be older than one month from the date of the complete application)
Cash payments (Must Complete an OCHS Self- Declaration Form)
1099-MISC
Social Security (cannot be older than one month from the date of the complete application)
Letter from a person providing financial assistance for the family
Military Pay
Immunizations (Up-to-date Records)
Proof of Identified Disability (for child, if applicable)
Individual Education Plan (IEP)
Individual Family Service Plan (IFSP)
Proof of Medical Insurance (if covered)
Child’s Medical Insurance Card
Full Time Eligibility Verification Form (if applying for Head Start or Early Head Start
full-day center base program)
Must be working 30+ hours Monday-Friday or attending school full time (at least 12 units) to be
eligible for this program option.
Please bring all required documents to the nearest OCHS Center or Administration Office.
We look forward to assisting you!
* Part Day Program Available
** Full Day Program Available
Administration Office 2501 S. Pullman Street, Ste. 100 ● Santa Ana, CA 92705 ● 714-241-8920 ● efax 714-640-2332
ERSEA PLAN 2015-2016
Oficina Administrativa 2501 S. Pullman Street, Ste. 100 ● Santa Ana, CA 92705 ● 714-241-8920 ● efax 714-640-2332
Lista de Información para la Aplicación
Gracias por su interés en Orange County Head Start Inc.’s (OCHS) Programa de
Preparación Escolar. Para poder procesar su aplicación necesitamos los siguientes
documentos:
Prueba de fecha de nacimiento o prueba de embarazo
Certificado de nacimiento
Pasaporte
Certificado del hospital
Documentos de cuidado de crianza temporal
Ordenes de la corte sobre custodia de los hijos
Documentos de adopción
Nota del médico (para solicitantes de embarazo)
Prueba de Ingresos- (salario de todo un año o por lo menos ingresos de un mes de cada padre) Declaración de impuestos 1040 del 2014
Todos los W-2 del 2014
Talones de cheque (salario de un año o el valor de un mes) (No pueden ser más de un mes de la
fecha de cuando aplico)
Seguridad social (debe ser menos de tres meses desde la fecha de la aplicación)
Ayuda en efectivo (TANF), o Ingresos del seguro social (SSI) (debe ser menos de tres meses
desde la fecha de la aplicación)
Asistencia de adopción (debe ser menos de un mes desde la fecha de la aplicación)
Reembolso de cuidado de crianza temporal (acuerdo de cuidado de crianza y documentos lega-
les)
Becas (por semestre o trimestre)
Manutención de menores (debe ser menos de un mes desde la fecha de la aplicación)
Desempleo/Discapacidad (debe ser menos de un mes desde la fecha de la aplicación)
Forma de declaración de ingresos (debe completar la forma de declaración de OCHS)
Forma 1099 para trabajadores por cuenta propia
Social Security (debe ser menos de un mes desde la fecha de la aplicación)
Carta de la persona que esta manteniendo a la familia
Paga militar
Inmunizaciones - Registro actualizado
Prueba de discapacidad identificada (si es aplicable)
Plan Educativo Individual (IEP) o
Plan de Servicio Individual Familiar (IFSP)
Prueba de aseguranza medica- (si esta cubierto)
Tarjeta de aseguranza medica Para clases de tiempo completo o el programa de Early Head Start en el centro
La forma—Full Time Employment Verification Form es necesaria(pida esta forma en el centro)
Tiene que estar trabajando tiempo completo 30+ horas o mas Lunes a Viernes o asistiendo a la escuela tiempo completo con 12+ unidades para calificar
Por favor de traer todos los documentos al centro mas cercano o a la Oficina Administrativa de OCHS.
¡Esperamos poder ayudarle!
OCHS Head Start (HS) and Early Head Start
(EHS) Centers
Baden Powell HS*/** 801 S. Gaymont St. Anaheim, CA 92804
714-236-4224
Buena Park HS*/**
6725 Dale St. Buena Park, CA 90621
714-521-1909
Buena Park EHS**
6625 Dale St. Buena Park, CA 90621
714-367-1111
Capo HS*
31485 El Camino Real San Juan Capistrano, CA
92675
949-661-8029
Carver HS*
11150 Santa Rosalia St. Stanton, CA 90680
714-241-8920
Centralia HS*/** 6627 La Cienega Dr.
Buena Park, CA 90620
714-228-9004
Crescent HS/EHS*/** 5600 Crescent Ave.
Buena Park, CA 90620 714-699-5930
Delhi HS*
505 E. Central Ave. Santa Ana, CA 92707
714-361-8866
E.L.V. HS*
32204 Del Obispo St. San Juan Capistrano, CA
92675
949-661-5243
Franklin HS* 506 South Janss St. Anaheim, CA 92805
714-241-8920
Fourth St. EHS** 1626 E. 4th St.
Santa Ana, CA 92701 714-619-7900
Fullerton HS*
341 S. Courtney Ave. Fullerton, CA 92833
714-447-3005
Hope HS* 13841 Milton Ave. Westminster, CA
92683
714-230-3832
Jeanne Hardy HS* 17175 Emerald Ln. Huntington Beach,
CA 92647 714-842-1221
K.I.D.S. HS/EHS*/**
1002 W. 2nd St. Santa Ana, CA 92703
714-541-8164
Martin HS* 1008 W. Russell Ave. Santa Ana, CA 92707
714-427-1290
Matt Kline HS* 2043 Meyer Pl.
Costa Mesa, CA 92627
949-548-4480
Placentia HS* 840 S. Melrose St.
Placentia, CA 92870
714-632-8787
Ruby Drive HS/EHS*/**
601 Ruby Dr. Placentia, CA 92870
714-854-8787
Schweitzer HS* 211 S. Dale Ave.
Anaheim, CA 92804
714-229-8790
Stanton HS*
8050 Chapman Ave. Stanton, CA 90680
714-230-3814
Topaz HS/EHS*/** 1600 Sapphire Rd. Fullerton, CA 92831
714-854-1534
Walter HS*
9200 Pacific Place
Anaheim, CA 92804
714-761-4967
* Part Day Program Available
** Full Day Program Available
ERSEA PLAN 2015-2016
Danh Sach Cac Chưng Tư Kem theo Đơn Xin Nhâp Hoc Cam ơn qui vi đa quan tâm đên Head Start Quân Cam (OCHS) Chương trinh Săn Sang Vao Lơp Mâu Giao. Nhưng chưng tư cân thiêt theo thư tư sau đây đê chung tôi duyêt xet đơn xin nhâp hoc cua con em qui vi:
Chưng Nhân Khai Sinh
Giây Khai Sinh
Sô Thông Hanh (Passport)
Giây Khai Sinh Bênh Viên
Giây Tơ Cha Me Nuôi
An Lênh Toa An nhân Con Nuôi
Giây Tơ Nhân Con Nuôi
Giây Xac Nhân Co Thai - La Thư cua Bac Si
Giây Chưng Minh Lơi Tưc (Lơi tưc môt năm, hay, tôi thiêu, môt thang lương
cua môi ngươi Cha, ngươi Me trong gia đinh)
Khai Thuê Lơi Tưc 1040 2014 Tât ca W-2 cua Lơi Tưc Năm 2014
Chi Phiêu Lương (lơi tưc môt năm hay, tôi thiêu lơi tưc môt thang lương) (Lơi tưc thang mơi nhât tinh tư ngay nôp đơn, không tinh phiêu lương cu hơn môt thang)
SSI (Giây Tiên Binh không qua 3 thang tinh tư ngay nôp đơn )
TANF (Giây chưng nhân lanh tiên trơ câp phai dươi 3 thang tinh tư ngay nôp đơn)
Trơ Câp Con Nuôi (không đươc qua môt thang tinh tư ngay nôp đơn)
Giây Chưng Nhân Cha Me Nuôi
Trơ Câp/Hoc Bông (Môi Hoc Ky hay Ba Thang)
Tiên Câp Dương Con Cai (không thê qua môt thang tinh tư ngay nôp đơn)
Tiên Thât Nghiêp (không thê qua môt thang tinh tư ngay nôp đơn)
Khuyêt Tât (không thê qua môt thang tinh tư ngay nôp đơn)
Lam Tiên Măt (Phai điên Mâu OCHS Self- Declaration)
1099-MISC
Tiên An Sinh Xa Hôi (không thê qua môt thang tinh tư ngay nôp đơn)
La thư tư ngươi cung câp tai chanh trơ câp cho gia đinh
Lương Quân Đôi
Giây Chich Ngưa (Hô Sơ Chich Ngưa đươc câp nhât)
Giây Chưng Nhân Khuyêt Tât (cua tre, nêu co)
Hô Sơ Giao Duc Ca Nhân (IEP)
Hô Sơ Giao Duc Ca Nhân Gia Đinh (IFSP)
The Bao Hiêm Vê Sưc Khoe (nêu co)
The Medical hay Bao hiêm Sưc khoe cua Tre
Giây Chưng Nhân Lam Viêc Toan Thơi Gian (danh cho chương trinh hoc
(nguyên ngay tai trung tâm cho cac em
Head Start hay Âu Nhi Start)
Phu huynh Phai lam viêc 30+ giơ trơ lên tư Thư Hai – Thư Sau hay đi hoc toan thơi gian (it nhât 12 tin chi) đê đươc đu điêu kiên vao chương trinh lưa chon nay.
Xin Phu huynh vui long mang tât ca moi giây tơ cân thiêt đên môt trung tâmgân nhât
cua OCHS hay Văn Phong Hanh Chanh. Chung tôi săn sang giup qui vi !
* Chương Trinh Nưa Ngay
** Chương Trinh Ca Ngay
*** C.T. Âu Nhi Head Start
Administration Office 2501 S. Pullman Street, Ste. 100 ● Santa Ana, CA 92705 ● 714-241-8920 ● efax 714-640-2332
OCHS Head Start (HS) and Early Head Start
(EHS) Centers
Baden Powell HS*/** 801 S. Gaymont St. Anaheim, CA 92804
714-236-4224
Buena Park HS*/**
6725 Dale St. Buena Park, CA 90621
714-521-1909
Buena Park EHS**
6625 Dale St. Buena Park, CA 90621
714-367-1111
Capo HS*
31485 El Camino Real San Juan Capistrano, CA
92675
949-661-8029
Carver HS*
11150 Santa Rosalia St. Stanton, CA 90680
714-241-8920
Centralia HS*/** 6627 La Cienega Dr.
Buena Park, CA 90620
714-228-9004
Crescent HS/EHS*/** 5600 Crescent Ave.
Buena Park, CA 90620 714-699-5930
Delhi HS*
505 E. Central Ave. Santa Ana, CA 92707
714-361-8866
E.L.V. HS*
32204 Del Obispo St. San Juan Capistrano, CA
92675
949-661-5243
Franklin HS* 506 South Janss St. Anaheim, CA 92805
714-241-8920
Fourth St. EHS** 1626 E. 4th St.
Santa Ana, CA 92701 714-619-7900
Fullerton HS*
341 S. Courtney Ave. Fullerton, CA 92833
714-447-3005
Hope HS* 13841 Milton Ave. Westminster, CA
92683
714-230-3832
Jeanne Hardy HS* 17175 Emerald Ln. Huntington Beach,
CA 92647 714-842-1221
K.I.D.S. HS/EHS*/**
1002 W. 2nd St. Santa Ana, CA 92703
714-541-8164
Martin HS* 1008 W. Russell Ave. Santa Ana, CA 92707
714-427-1290
Matt Kline HS* 2043 Meyer Pl.
Costa Mesa, CA 92627
949-548-4480
Placentia HS* 840 S. Melrose St.
Placentia, CA 92870
714-632-8787
Ruby Drive HS/EHS*/**
601 Ruby Dr. Placentia, CA 92870
714-854-8787
Schweitzer HS* 211 S. Dale Ave.
Anaheim, CA 92804
714-229-8790
Stanton HS*
8050 Chapman Ave. Stanton, CA 90680
714-230-3814
Topaz HS/EHS*/** 1600 Sapphire Rd. Fullerton, CA 92831
714-854-1534
Walter HS*
9200 Pacific Place
Anaheim, CA 92804
714-761-4967
* Part Day Program Available
** Full Day Program Available