2026-2027 Grant Early Childhood Network Coordinated Application Official application for Public Pre-K, Head Start, and Child Care Centers. Δ Step 1 of 6 – Early Childhood Application 16% STOP & READ: If you are applying for a Head Start or Childcare Center program, do not upload any documentation for this process. A Head Start or Child Care Center director will contact you for documentation. Child Care and Head Start programs collect application documentation separately.It will be helpful to have the following documents available when filling out this application.During this application you will have the opportunity to upload the eligibility documents required to determine eligibility for Public PreK programs only. Please note that all applications for Type III Childcare Centers or Head Start programs will be shared with those partners as soon as the application is received.Those applying for the Public Pre-K school will need to submit the following documentation during the application process:One of the following for Income Documentation for each adult in household:2 Consecutive Pay Statements from each adult listed on the application (the dates on the pay statements must be within 2 months prior to filling out the application.SNAP Benefit Letter with ‘Certified Through Date’ and child’s nameCurrent Foster Care Placement Papers from DCFS – If ApplicableHomeless Form (McKinney Vento Form) – If Applicable‘No Income Form’ for all non-working adults in the homeDeclaration of Income for Irregular Employment (intermittently employed or self-employed if don’t have pay statements)Letter from Social Security Administration verifying that the child listed on the application is a recipient of SSI benefits.Copy of Child’s Birth certificate (person filling out application must be listed on the birth certificate or you will need to provide Court Custodial Papers)Proof of Residence (Must submit 2 of the following with physical address and name)Utility Bill (Current Electric, gas, or water bill with parent/gaurdian name and physical address)Rental Agreement or Mortgage StatementDrivers License or State Issued IDNote: Cell Phone Bills or other mail are not acceptable forms of Proof ResidenceALL required documentation MUST be received at the Grant Parish School Board Office: Deadline to submit applications is May 15, 2026All questions marked with an asterisk (*) MUST be completed for the application to be processed. NOTICE: This is for Early Head Start/Head Start, Child Care Centers or Pre-K in Grant Early Childhood Network.Please note the following ages for each program:For Early Head Start: Your child must be between 6 weeks and 2 years of age.For Public Pre-K: Your child must be 4 years of age by September 30, 2026. (DOB should fall between the dates of October 1, 2021 – September 30, 2022.)For Head Start: Your child must be at least 3 years of age and not more than 4 years of age by September 30, 2026.For Child Care Centers: Your child must be between 6 weeks of age and 4 years of age.Which service are you applying for?(Required) Child Care (6 weeks – 4 years) Head Start / Early Head Start Grant Parish Public Pre-K Child's Date of Birth(Required) MM slash DD slash YYYY Child's InformationChild's Name(Required) First Last Gender(Required) Male Female Race White or Caucasian Black or African American Hispanic or Latino Asian or Asian American American Indian Alaska Native Native Hawaiian Other Pacific Islander Other Select all race/ethnicity options that apply.Medical & ServicesDoes your child have any allergies? Yes No Please list allergiesPlease list the allergy or allergies and any important details staff should know.Does the child currently receive any of these services? Special Education Services (IEP) Speech Services Early Intervention (IFSP) Referred by Psychological Services Have a suspected disability None of these apply Primary Contact InformationName of person child resides with(Required) First Last Relationship to Child(Required)Email Address(Required) Phone Number(Required)Physical Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Mailing Address Mailing address is same as Physical Address Mailing address is different from Physical Address Mailing Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Add a second contact person? Yes No Second ContactSecond Contact Name First Last Second Contact Phone Household Information INSTRUCTIONS: Enter the total number of adults below. You MUST list every adult in the section below. Click the (+) button to add a new row for each adult. You must fill in all 3 columns (Name, Employer, Income). If an adult is unemployed, enter 0 for Income. Number of Adults in household(Required)Enter the total number of adults.Adult Information(Required)FULL NAMEEMPLOYER NAMEINCOME Add RemoveFor each adult, enter their information below. If not employed, type ‘NONE’. INSTRUCTIONS: Type the name of each child in the spaces below. Each child in the home must be listed. Select the program/school the child currently attends for the 2025–2026 school year. If the child is not attending a program/school, select None. To add another child, click the (+) button to add a new row. Number of Children in household(Required)Child Information(Required)FULL NAMEPROGRAMAgeGrade Add RemoveEnter each child in the household. For Program, enter the school or early childhood program the child currently attends, or type None if not applicable.Has the child experienced any of the following living conditions within the last year (select all that apply.) Sharing housing due to loss of housing, economic hardship, or a similar reason Living in motels, hotels, trailer parks, or campgrounds due to lack of adequate alternative accommodations. Living in emergency or transitional shelters. Awaiting foster care placement. Residing in a location that is not designed or intended for human sleeping accommodations (e.g. park benches, etc.) Living in cars, parks, public spaces, abandoned buildings, substandard housing or bus or train stations. The child has not experienced any of the above Select any living conditions that have applied to the child within the last year.Is this applicant requesting to attend Head Start? Yes No Is the parent of the child a teen parent? Yes No What is the marital status of the parent or guardian of the child?(Required) Single Married Widowed Separated Divorced What is your role in the household? Mother/Mother Figure Father/Father Figure Household Member Resides outside the home What is the work status of the parent or guardian? Paying Job In School Full time and Employed Part Time Employed Full Time and in School Part Time If employed or in school, please select specifics: Full Time (more than 34 hours per week) Part Time Seasonal-Agricultural Employed and in school Toward High School Diploma/GED Towards trade/business qualification Towards College Degree Select any work or school details that apply to the parent/guardian.What is the highest level of education completed by a parent or guardian? High School GED High School Diploma Some College Associate Degree Technical Program Degree Bachelor Degree Masters Plus Did not complete high school How to rank your program choices (1 = top choice): You will see a list of programs. Click and hold on the program name (or the up/down handle next to it). While holding the mouse button down, drag the program up or down to the position you want. Release the mouse button to drop it in place. Repeat until the list is in your preferred order. Important: While you are dragging, the list may temporarily look spaced out or “split” (this is normal). Once you let go, it will snap into the correct order. On a phone/tablet: Press and hold the program name, then drag up or down and release. If you want a program to be your #1 choice, drag it to the very top of the list. Please rank the programs below in order of preference. Your child is only eligible for public Pre-K at the school he/she is zoned for. Student must be tested and meet requirements of grant that supports the Pre-K programPublic Pre-KGrant Head Start Center (Colfax)Grant Early Head Start Center (Colfax)Grant Learning CenterDry Prong Head StartDogwood Learning AcademyCenla Christian Childcare Center – PollockRank the choices above by dragging and dropping them into your preferred order. DOCUMENT SUBMISSION INSTRUCTIONS Head Start / Child Care Applicants: Please do not upload any documentation during this application. A Head Start or Child Care Center director/representative will contact you to request documentation. Public Pre-K Applicants: You will need to submit the documentation listed below during the application process. Income Documentation (for each adult in the household): Two (2) consecutive pay statements from each adult listed on the application (pay dates must be within 2 months prior to completing the application) SNAP Benefit Letter with “Certified Through Date” and the child’s name Current Foster Care placement papers from DCFS Homeless Form (McKinney-Vento Form) “No Income Form” for all non-working adults in the home Declaration of Income for Irregular Employment (intermittently employed or self-employed if pay statements are not available) Letter from Social Security Administration verifying the child listed on the application is a recipient of SSI benefits Copy of the child’s birth certificate (the person completing the application must be listed on the birth certificate, or you will need to provide court custody papers) Proof of Residence: Submit two (2) of the following showing the physical address and the parent/guardian name: Utility bill (current electric, gas, or water bill with parent/guardian name and physical address) Rental agreement or mortgage statement Driver’s license or state-issued ID Note: Cell phone bills or other mail are not acceptable forms of proof of residence. IMPORTANT: Please do not upload a copy of the child’s Social Security card or the child’s shot records. These items will be requested by the school during registration (if your child is accepted). ALL required documentation MUST be received at the Grant Parish School Board Office. Deadline to submit applications: May 15, 2026 How will you submit required documents?(Required) Upload them now Bring in-person or Mail Proof of income, birth certificate, and proof of residence. Mail or deliver your documents using the information below. Mailing Address Grant Parish School Board Attention: Kimberly Roberts PO Box 208 Colfax, La. 71417 Physical Address (In Person) Grant Parish School Board Attention: Kimberly Roberts 600 Main St Colfax, Louisiana 71417 Upload Documents Drop files here or Select files Max. file size: 1 GB, Max. files: 10. REMINDER: Do NOT upload if applying for Head Start/Child Care. Accepted files: PDF, JPG, PNG.Certification(Required) I certify that the information provided is true to the best of my knowledge. Check the box to certify that the information provided is true to the best of your knowledge.Signature(Required)Date(Required) MM slash DD slash YYYY