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Application Appointment Request

Salisbury-Rowan Community Action Agency, Inc. Head Start/Early Head Start Program
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The following documents are needed to complete the application and/or enrollment process.

 For Head Start and Early Head Start:

*Child’s Birth Certificate
*Verification of Income
Child’s Physical Exam
Child’s Immunization Record

If Applicable, please bring the following:

Medicaid Card or Insurance Card
Documentation of Allergies
Documentation of Diagnosed Disability
Dental Exam

For Expectant Mothers:

Verification of Income
Copy of Ultrasound