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Head Start Application


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    Please include legal documentation from the court, Social Worker, or other if needed
  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • Legal Guardian
  • List all the other family members below who are living in the home and must be financially supported by the parent/guardian and related by blood, marriage or adoption.
    Full NameRelationship to the ChildDate of BirthGender (M/F/N) 
  • MM slash DD slash YYYY
  • send a copy of the IEP or IFSP with this application
  • 2023 Federal Poverty Guidelines

    A family is eligible if the total income for the past year is at or below the Federal Poverty Guidelines. Family size includes family members who live with the child and are related by blood, marriage or adoption.
  • Size of Family Income 100% Size of Family Income 100%
    1 $14,580 7 $45,420
    2 $19,720 8 $50,560
    3 $24,860 9 $55,700
    4 $30,000 10 $60,840
    5 $35,140 11 $65,980
    6 $40,280 12 $71,120
  • Proof of Income

    Check all types of income and send proof for each item checked. Proof of income will be collected from anyone financially supporting the child who is related by blood, marriage or adoption. **ALL INCOME DOCUMENTS MUST BE RECEIVED TO COMPLETE YOUR APPLICATION.**
  • 2022 W-2's or 2022 tax forms, or pay stubs for past 12 months.
  • What to Send : pay stubs for past 12 months, 2020 W-2’s or 2020 1040 Form
  • Current MFIP/DWP or SNAP Notice of Decision letter from the county.
  • What to Send : current MFIP “Notice of Decision” from the county
  • SSI statement or award letter indicating monthly payment amount.
  • What to Send : copy of the SSI letter
  • Social Security statement or award letter indicating monthly payment amount.
  • What to send : a statement or letter indicating the monthly amount received
  • MN UE statement showing payments received in last 12 months.
  • What to send : statement of amount received in the past 12 months
  • Child support award letter, online child support account printout for past 12 months or signed letter of child support payments.
  • What to send : total amount received in past 12 months; $__________
  • Award letter with grant or scholarship amounts listed.
  • What to send : copy of award letter with grant or scholarship amount
  • Contact main office for Declaration of Income form.
  • What to send : Declaration of No Income will need to be filled out
  • Attach court order or letter from county social worker.
  • Contact main office for Homeless Verification form.
  • What to send : A Homeless Verification Form will need to be filled out.
  • I understand that all information provided to Reach-Up Inc. regarding my family is stored on an electronic database. It may be shared with other services used by Reach-Up Inc., such as the MN State Immunization Registry. By signing this form, I affirm that I believe these facts are true and accurate. I understand that I am asked to prove my statements. I understand that I may be prosecuted for fraud and perjury if I knowingly give false information.
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  • Programs

    Check one box below for the program that will work best for your family and this child. **Parents are responsible for drop off and pick up of children for all locations.**
  • EARLY HEAD START (2023-2024) Children who were born on/after 9/2/20 and pregnant women
    Program Name & Location Time Age Additional Information
    Early Head Start Child Care Center Eastside 1250 Johnson Rd, St. Cloud Early Head Start Time: 8:00am – 3:00 pm Child Care hours: 7:30am-8:00am & 3:00pm-5:00pm Child must be 6 weeks old and can attend until their 3rd birthday Parent must work or attend school a minimum of 30 hours per week. Child must attend 35 hours of EHS. Childcare rates are $18/day. Year Round Monday-Friday
    Early Head Start Home Based Serves Stearns, Benton & Sherburne counties Year Round Pregnant women and children birth to 3 years old Weekly 90 minute home visits Parent/Child Activity days 2x per month
  • Children who were born on/after 9/2/20 and pregnant women



  • HEAD START (2023-2024) Children whose birthdate falls between 9/2/18 and 9/1/20
    Program Name & Location Time Additional Information
    Head Start Child Care Center Eastside 1250 Johnson Rd, St. Cloud Head Start Time: 8:00am – 3:00pm Child Care hours: 7:30am - 8:00am & 3:00pm - 5:00pm Parent must work and/or attend school a minimum of 30 hours per week. Parent must pay the required child care rate of $15/day Year Round Monday - Friday
    St. Cloud Technical College 1701 9th Ave N, St. Cloud 8:00am - 3:00pm Childcare available through Campus Playhouse August through June Monday-Thursday
    Eastside Locations 1250 Johnson Rd, St. Cloud 358 Hwy 10 So, St. Cloud 8:00am - 3:00pm 8:45am – 3:45pm August through June Monday-Thursday
    Roosevelt Boys & Girls Club Location 345 30th Ave N, St. Cloud 8:00am – 3:00pm August through June Monday-Thursday
    Southside Boys & Girls Club Location 1205 6th Ave S, St. Cloud 8:00am - 3:00pm August through June Monday-Thursday
    Athlos Academy Location 3701 33rd St S, St. Cloud 8:30am - 3:30pm August through June Monday-Thursday
    Big Lake Location 17901 205th Ave, Big Lake 8:00am – 3:00pm August through June Monday-Thursday
    Head Start Home Based Serves Stearns, Benton & Sherburne counties Year Round Weekly 90 minute home visits Parent/Child Activity days 2x per month
  • Children whose birthdate falls between 9/2/18 and 9/1/20
  • Hidden
  • Program locations and times are subject to change. **NO transportation is provided.**
  • If you have more than one file or form please use the additional File/Form buttons below.
    Max. file size: 20 MB.
  • Max. file size: 20 MB.
  • Max. file size: 20 MB.
  • Max. file size: 20 MB.

REACH-UP
OFFICE

350 Hwy 10 S, Suite 100
St. Cloud, MN 56304

Phone (320) 253-8110

Fax (320) 253-1107

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MAIN OFFICE HOURS

MONDAY - FRIDAY

7:30 AM - 4:30 PM