Enrollment Resources

Head Start & Early Head Start

Ana Cummins | 203-989-0228
anacummins@clcstamford.org (English & Español)

Inquiry Form (English & Spanish)

Child Development & School Readiness 

(203) 967-6960
Inquiry Form (English & Spanish)

• Current proof of Income:
  • Paid weekly, last four consecutive pay stubs or paid biweekly or twice a month, last two consecutive pay stubs
  • A letter from your employer on company letterhead stating your weekly hours, rate of pay and schedule of pay
  • A copy of your most recent tax return
  • Proof of child support (copy of State or Connecticut check) for adults not living the household
  • Documentation of school or training program, including hours, if applicable
  • Documentation of state assistance, if applicable
• Birth Certificates for all children and underage parents living in the household
• Two proofs of address: lease or mortgage statement plus electric or gas bill
• $35 non-refundable enrollment fee. Exact cash (NOT APPLICABLE FOR HEAD START PROGRAM)
• A completed physical form with immunizations for your child that is current within (1) year
• A completed dental form
• Child’s medical insurance card
• At least two emergency contact names and daytime phone numbers
• Proof of Stamford residency (SCHOOL READINESS PROGRAM ONLY)
• The Social Service Office has the right to request additional information or documentation as needed in order to complete registration.

A list of required documents for the Head Start and Early Head Start enrollment application is available here.

• A monthly fee is established at intake interview (sliding scale fee)
• Fees are paid one month in advance, due the last Friday of each month before 9:30 a.m.
• Fees must be paid whether child is present or absent
• Fees are not charged during the December holiday period when the agency is closed

• Agency Policy and Permission
• Authorization to Administer Medication
• Child Development and School Readiness Registration Packet
• Child Dental Exam Form
• Child Physical Exam Form
• Directions for completing Child Development and School Readiness Intake English
• Directions for completing Child Development and School Readiness Intake Spanish
• Emergency Form
• CACFP Parent Letter English
• CACFP Parent Letter Spanish
• CACFP free-reduced lunch form Spanish
• CACFP free-reduced lunch form English
• Meal Modification Form for Allergies/Food Restrictions
• CLC Parent Publicity Release – Spanish
• CLC Parent Publicity Release – English

The Social Service Office has the right to request additional information or documentation as needed in order to complete registration.