Head Start Program Forms


Early Head Start & Head Start Program Forms and Informational Handouts

 LaserFiche Forms


 Income Verification Form

FILLABLE FORMS - Can be downloaded, completed, saved and emailed if required

Case Management

Child Abuse and Neglect Report Form  -  ST. LOUIS COUNTY Report Child Abuse Link

Child and Adult Care Food Program (CACFP) Forms:

Disabilities & Mental Health Related Forms:

EHS Transition Form

Employee Hepatitis B Vaccination Form (Blood Borne Exposure Form)

External Training Tracker  (MS Excel Document)

Field Trip and Event

Lesson Plan Preschool (MS Word Document)

Material Requisition Request Form    -     Click here for the Head Start:  Inventory Catalog

MARRS (MN Early Childhood Registration Form)

Medication Administration Packet - This form is now a built in module within ChildPlus.

Parent Committee Meeting (No longer used.  Event entered in ChildPlus)

Staff Emergency Information

Staff In Service Training Record (DHS-4679-ENG)

Sunscreen Permission

PRINTABLE FORMS - Download and print.  These forms CAN NOT be filled out electronically.

Behavior Incident Report (BIR) Form  -  Behavior Incident Report (BIR) Directions

Bloodborne Exposure Medical Exam Declination for Staff (Blood Borne Exposure Form)

Bus Attendance and Tracking (MS Excel Document)

Child and Adult Care Food Program (CACFP) Enrollment Form

Child and Family Signature Tracking

Children's Dental Service (CDS) Consent Form

Daily Sign In/Out Form

Edinburgh Postnatal Depression Scale (EPDS) - This form is now a built in module within ChildPlus

Employee Health Exam Form

Home Safety Checklist - This form is no longer valid.  Please check with your Program Manager for an updated form

Immunization Exemption Form (MN Dept. of Health)

In Kind - At Home Activity Sheets:

Minneapolis Preschool Screening Instrument (For RESCREEN ONLY)

Pathway 2 Scholarship Application

Paid Time Off (PTO) Pay Out

Post Exposure Medical Evaluation (Blood Borne Exposure Form)

Separation Report

Sign In/Out - Non Parents Form


Informational Handouts

Health Alert Notices:


AEOA Departments

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