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APPLICATION REQUIREMENTS
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When applying please bring the following...
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1. Certified Birth Certificate
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2. Total household income for past 12 months. Please bring one of the following:
a. W-2 forms
b. Check stubs
c. Tax Return
d. Letter of Employment
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4. Shot record for each child to be enrolled
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| ** If applicable, include Work First Family Assistance statement and Medicaid number |
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