Head Start Program Round Up Dates for School Year The below schedule is effective January 2018 April 2018

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Bridget Dortha Hamilton
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1 Head Start Program Round Up Dates for School Year The below schedule is effective January 2018 April 2018 SCHOOL DATE TIME REGISTRATION LOCATION Bing 2/12/ :30am 2:00pm 78th Street Library, 7625 Palm River Rd., Tampa /26/ :30am 2:00pm 78th Street Library, 7625 Palm River Rd., Tampa MAKE-UP Bryan 3/6/2018 8:30am 2:30pm Bryan Elementary, 2006 West Oak Avenue, Plant City, FL /19/2018 8:30am 2:30pm Springhead Park, 3440 Nesmith Rd., Plant City MAKE-UP Burney 2/8/ :00pm 3:00pm Burney Elementary Media Center, 901 S. Ever Street, Plant City, FL /28/ :00pm 2:30pm Burney Elementary Media Center, 901 S. Ever Street, Plant City, FL MAKE-UP Cahoon 3/8/ :30am - 12:30pm Copeland Parks & Recreation, N. 15th St., Tampa /5/ :30am 12:30pm Copeland Parks & Recreation, N. 15th St., Tampa MAKE-UP Chiaramonte 3/6/2018 1:00pm 3:30pm Jan Kaminis Platt Library, 3910 S. Manhattan Ave., Tampa /24/2018 1:00pm 3:30pm Jan Kaminis Platt Library, 3910 S. Manhattan Ave., Tampa MAKE-UP Citrus Park 3/20/218 10:30am - 12:30pm Citrus Park Elementary, 7700 Gunn Highway, Tampa, FL /17/ :30am - 12:30pm Citrus Park Elementary, 7700 Gunn Highway, Tampa, FL MAKE-UP ClairMel 3/1/ :30am 2:30pm 78th Street Library, 7625 Palm River Rd., Tampa /20/2018 9:00am 1:30pm Clair Mel Elementary (Media Center), 1025 S. 78th St. Tampa MAKE-UP Cleveland 3/9/2018 8:30am - 9:30am Cleveland Elementary-Cafeteria, 723 E. Hamilton Ave., Tampa /20/ :30am - 1:00pm Seminole Heights Branch Library, 4711 N Central Ave, Tampa, FL /23/2018 8:30am - 9:30am Cleveland Elementary-Cafeteria, 723 E. Hamilton Ave., Tampa MAKE-UP Cork 3/1/2018 8:30am - 2:30pm Cork Elementary, 3501 N. Cork Road, Plant City, FL /19/2018 9:00am 2:30pm Springhead Park, 3440 Nesmith Rd., Plant City MAKE-UP Cypress Creek 2/20/ :30am 1:30pm South Shore Regional Library, Beth Shields Way, Ruskin /28/2018 1:00pm 3:00pm South Shore Regional Library, Beth Shields Way, Ruskin MAKE-UP DeSoto 3/21/ :30am 1:30pm Robert W. Saunders Library, 1505 N. Nebraska Ave., Tampa, FL /11/ :30am - 1:30pm Robert W. Saunders Library, 1505 N. Nebraska Ave., Tampa, FL MAKE-UP Dickenson 2/23/ :30am 2:00pm Town-N-Country Commons Library (Room A&B), 7606 Paula Drive, Tampa /23/ :30am - 2:00pm Town-N-Country Commons Library (Room A), 7606 Paula Drive, Tampa MAKE-UP Dover 3/19/2018 8:30am - 1:00pm Dover Boys & Girls Club, 2820 Gallagher Rd, Dover /18/2018 8:30am - 1:00pm Dover Boys & Girls Club, 2820 Gallagher Rd, Dover MAKE-UP Edison 2/7/2018 8:30am 12:30pm Cyrus Green Recreation Center, 2007 East MLK Blvd., Tampa /21/2018 8:30am 12:30am Cyrus Green Recreation Center, 2007 East MLK Blvd., Tampa MAKE-UP Egypt Lake 2/21/2018 9:00am 1:00pm Egypt Lake Elementary (Media Center), 6707 N. Glen Ave., Tampa /8/2018 9:00am 1:00pm Egypt Lake Elementary (Media Center), 6707 N. Glen Ave., Tampa MAKE-UP Encore 3/21/ :30am - 1:30pm Robert W. Saunders Library, 1505 N. Nebraska Ave., Tampa, FL /11/ :30am - 1:30pm Robert W. Saunders Library, 1505 N. Nebraska Ave., Tampa, FL MAKE-UP Forest Hills 2/6/2018 9:00am 1:00pm Forest Hills Elementary, N. Ola Ave., Tampa /20/ :30am - 1:00pm Seminole Heights Branch Library, 4711 N Central Ave, Tampa, FL MAKE-UP

2 Frost 2/22/2018 8:30am - 2:30pm Frost Media Center, 3950 Falkenburg Road, Riverview, FL /12/2018 8:30am - 2:30pm Frost Media Center, 3950 Falkenburg Road, Riverview, FL MAKE-UP Gibsonton 3/27/2018 9:30am 2:30pm Riverview Civic Center, Park Dr., Riverview /10/2018 9:30am 2:30pm Riverview Civic Center, Park Dr., Riverview /25/2018 9:30am 2:30pm Riverview Civic Center, Park Dr., Riverview MAKE-UP Graham 2/21/ :30am 2:00pm West Tampa Library, 2312 W. Union St., Tampa, FL /28/ :30am 2:00pm West Tampa Library, 2312 W. Union St., Tampa, FL MAKE-UP James 3/5/2018 9:00am 2:00pm Head Start Administration Office, 4350 E. Ellicott Street, Tampa /26/ :00am 2:00pm Head Start Administration Office, 4350 E. Ellicott Street, Tampa MAKE-UP Just 2/7/2018 9:00am 1:00pm Martin Luther King Recreation Center, 2300 North Oregon Ave, Tampa /28/2018 9:00am 1:00pm Martin Luther King Recreation Center, 2300 North Oregon Ave, Tampa MAKE-UP Kenly 2/13/2018 9:00am 1:00pm Highland Pine Park, 4505 E. 21st Ave., Tampa /27/2018 9:00am 1:00pm Highland Pine Park, 4505 E. 21st Ave., Tampa MAKE-UP Knights 2/19/2018 8:30am - 2:30pm Knights Elementary Multi Purpose Room, 4815 North Keene Road, Plant City /19/2018 8:30am 2:30pm Springhead Park, 3440 Nesmith Rd., Plant City MAKE-UP Lamb 2/20/2018 8:30am - 2:30pm Lamb Elementary, 6274 S. 78th Street, Tampa, FL /12/2018 8:30am - 2:30pm Frost Media Center, 3950 Falkenburg Road, Riverview, FL MAKE-UP Lincoln 2/20/2018 9:00am 12:00pm Lincoln Elementary (Multi-Purpose RM), 1207 E. Renfro St., Plant City /19/2018 9:00am - 2:30pm Springhead Park, 3440 Nesmith Rd., Plant City MAKE-UP Lockhart 3/26/2018 8:30am - 2:00pm Cyrus Green Recreation Center, 2007 East MLK Blvd., Tampa /25/2018 8:30am 2:30pm Cyrus Green Recreation Center, 2007 East MLK Blvd., Tampa MAKE-UP Lopez 2/15/2018 9:30am 12:30pm Mango Park/Recreation Center, Claypit Rd., Seffner /29/2018 8:30am - 12:30pm Mango Park/Recreation Center, Claypit Rd., Seffner MAKE-UP Mango 2/15/2018 9:30am 12:30pm Mango Park/Recreation Center, Claypit Rd., Seffner /29/2018 8:30AM - 12:30PM Mango Park/Recreation Center, Claypit Rd., Seffner MAKE-UP Muller 3/8/ :30am 12:30pm Copeland Parks & Recreation, N. 15th St., Tampa /5/ :30am - 12:30pm Copeland Parks & Recreation, N. 15th St., Tampa MAKE-UP Oak Grove 2/26/ :30am 2:30pm Robert W. Saunders Library, 1505 N. Nebraska Ave., Tampa, FL /5/ :30am 2:00pm Robert W. Saunders Library, 1505 N. Nebraska Ave., Tampa, FL MAKE-UP Oak Park 2/13/2018 9:00am 1:00pm Highland Pine Park, 4505 E. 21st Ave., Tampa /27/2018 9:00am 1:00pm Highland Pine Park, 4505 E. 21st Ave., Tampa MAKE-UP Palm River 2/21/2018 8:30am 2:30pm Palm River Elementary, 805 Maydell Dr., Tampa /12/2018 8:30am - 2:30pm Frost Media Center, 3950 Falkenburg Road, Riverview, FL MAKE-UP Pinecrest 2/14/2018 9:30am 12:30pm Pinecrest Elementary Multipurpose Rm, 7950 Lithia Pinecrest Rd., Lithia, FL /26/2018 8:30am 11:00am Pinecrest Elementary Multipurpose Rm, 7950 Lithia Pinecrest Rd., Lithia, FL MAKE-UP Potter 2/12/ :30am 2:00pm Robert W. Saunders Library, 1505 N. Nebraska Ave., Tampa, FL /21/2018 8:30am 12:00am Cyrus Green Recreation Center, 2007 East MLK Blvd., Tampa MAKE-UP Reddick 3/27/ :30am - 2:30pm South Shore Regional Library, Beth Shields Way, Ruskin Riverview 3/27/2018 9:30am 2:30pm Riverview Civic Center, Park Dr., Riverview /10/2018 9:30am 2:30pm Riverview Civic Center, Park Dr., Riverview MAKE-UP Robinson 2/13/2018 9:00am 2:30pm Springhead Park, 3440 Nesmith Rd., Plant City /20/2018 9:00am 2:30pm Springhead Park, 3440 Nesmith Rd., Plant City MAKE-UP

3 Robles 2/27/ :30am 12:30pm People s Life Center, 6105 E. Sligh Ave., Tampa /22/ :30am 1:00pm People s Life Center, 6105 E. Sligh Ave., Tampa MAKE-UP Ruskin 3/27/ :30am - 2:30pm South Shore Regional Library, Beth Shields Way, Ruskin Seminole 2/16/ :30am 1:00pm Seminole Heights Branch Library, 4711 N Central Ave, Tampa, FL /20/ :30am - 1:00pm Seminole Heights Branch Library, 4711 N Central Ave, Tampa, FL MAKE-UP Shaw 2/22/2018 9:00am 1:00pm Copeland Parks & Recreation, N. 15th St., Tampa /27/2018 9:00am 1:00pm Copeland Parks & Recreation, N. 15th St., Tampa MAKE-UP Sheehy 3/21/2018 8:30am - 2:30pm People s Life Center, 6105 E. Sligh Ave., Tampa /25/2018 8:30am 2:30pm Cyrus Green Recreation Center, 2007 East MLK Blvd., Tampa MAKE-UP Springhead 2/15/2018 9:00am 2:30pm Springhead Park, 3440 Nesmith Rd., Plant City /20/2018 9:00am 2:30pm Springhead Park, 3440 Nesmith Rd., Plant City MAKE-UP Sulphur Springs 2/8/2018 9:00am 1:00pm Norma & Joseph Robinson P. Sulphur Springs, 8412 N. 13th St., Tampa /29/2018 9:00am 1:00pm Norma & Joseph Robinson P. Sulphur Springs, 8412 N. 13th St., Tampa MAKE-UP Tampa Bay 2/19/2018 9:00am 12:30pm Tampa Bay Elementary (Media Center), 3111 Tampa Bay Blvd.,Tampa /5/ :30am 2:00pm Robert W. Saunders Library, 1505 N. Nebraska Ave., Tampa, FL MAKE-UP Thompson 3/29/ :30am - 2:30pm South Shore Regional Library, Beth Shields Way, Ruskin Thonotosassa 2/22/2018 9:30am - 12:30pm Mango Park/Recreation Center, Claypit Rd., Seffner /27/2018 9:30AM - 12:30PM Thonotosassa Recreation Center, Skewlee Rd, Thonotosassa MAKE-UP Town n Country 2/23/ :30am 2:00pm Town-N-Country Commons Library (Room A&B), 7606 Paula Drive, Tampa /23/ :30am - 2:00pm Town-N-Country Commons Library (Room A), 7606 Paula Drive, Tampa MAKE-UP Trapnell 2/14/2018 9:00am 2:30pm Springhead Park, 3440 Nesmith Rd., Plant City /20/2018 9:00am 2:30pm Springhead Park, 3440 Nesmith Rd., Plant City MAKE-UP Washington, BT 3/21/ :30am 1:30pm Robert W. Saunders Library, 1505 N. Nebraska Ave., Tampa, FL /11/ :30am - 1:30pm Robert W. Saunders Library, 1505 N. Nebraska Ave., Tampa, FL MAKE-UP West Shore 3/6/2018 1:00pm 3:30pm Jan Kaminis Platt Library, 3910 S. Manhattan Ave., Tampa /24/2018 1:00pm 3:30pm Jan Kaminis Platt Library, 3910 S. Manhattan Ave., Tampa MAKE-UP West Tampa 2/21/ :30am 2:00pm West Tampa Library, 2312 W. Union St., Tampa, FL /28/ :30am 2:00pm West Tampa Library, 2312 W. Union St., Tampa, FL MAKE-UP Wilson 3/8/2018 8:30am - 2:30pm Wilson Elementary, 702 English Street, Plant City /19/2018 8:30am 2:30pm Springhead Park, 3440 Nesmith Rd., Plant City MAKE-UP Wimauma 3/29/ :30am - 2:30pm South Shore Regional Library, Beth Shields Way, Ruskin Witter 2/20/2018 9:00am 1:00pm Copeland Parks & Recreation, N. 15th St., Tampa /27//2018 9:00am 1:00pm Copeland Parks & Recreation, N. 15th St., Tampa MAKE-UP *Dates/Times and Locations in "Red" are the final date to register. *Please be aware Round-Up Dates/Times and Locations are subject to change due to upcoming meetings and enrollments.* *Please review page 4 & 5 (Eligibility Requirement Checklist in English & Spanish) for documents required for registration.*

*Eligibility Requirement Checklist* Please return this page with your application and documentation. Thank you for applying with the Hillsborough County Public Schools Head Start Program.

4 *Eligibility Requirement Checklist* Please return this page with your application and documentation. Thank you for applying with the Hillsborough County Public Schools Head Start Program. In order to determine your child's eligibility, the items listed below must be provided along with your application. We accept applications throughout the school year for anyone who is interested in enrolling in the Hillsborough County Public Schools Head Start program. The completion of this form should not be considered a formal acceptance into the program, but one of the steps in completing the eligibility process. Please utilize the checklist below to ensure all required documentation is turned in so that your application is processed in a timely manner. I. Age Verification Copy of Child s Birth Certificate II. Earned Income for Tax Return III. Other Income (last twelve months printout) Cash Assistance (TANF/AFDC) Child Support verification Veteran's Benefits Financial Aid award letter Unemployment Compensation/Worker's Compensation Income from Social Security Administration (SSl, SSA, or SSD award letter) If you are claiming NO income, you must: 1) call IRS ( ) and request a Wage and Income Transcript 2) Submit a written letter explaining how your family's basic needs are being provided for. IV. Proof of Residency (one of the following) Florida Driver s License/ ID with current address Utility Bill or Pay Stub within the last 60 days Rental Agreement Military Orders V. Other Proof of Legal Custody/Guardianship Food Stamps / Medicaid Eligibility Letter (Optional) VI. Health documents needed for Enrollment. Current Physical with Hemoglobin & Lead Results Current Immunization Record (Shot Record) Current Dental Exam Medicaid Card/Letter must be provided after your application has been determined eligible and approved for enrollment.

5 *Lista de los Requisitos para la Elegibilidad* Por favor vuelva esta página con su aplicacion y su documentación. Gracias por aplicarse con el programa de Head Start de las escuelas públicas del condado de Hillsborough. Para determinar la elegibilidad de su niño, los artículos enumerados abajo se deben proporcionar junto con su aplicacion. Aceptamos aplicaciones a través del año escolar para cualquier persona que esté interesado en alistar en el programa de Head Start de las escuelas públicas del condado de Hillsborough.La terminación de esta forma no se debe considerar una aceptación formal en el programa, siuno de los pasos en completando el proceso de la elegibilidad. Por favor utilice la lista de comprobación abajo para asegurarse que todo la documentacion requerida es regresado para que su aplicacion sea procesado. I. Verificacion de Edad Certificado de nacimiento o comprobante de custodia Legal II. Ingresos para el año 2017 Declaración de impuestos 1040 III. Otros ingresos (prueba de los últimos doce meses) Ingreso del Seguro Social (SSI, SSA, or SSD carta/impresión) Asistencia en Efectivo (TANF/AFDC) Verificacion de Sustento de Niño(a) Beneficios de Veterano Desempleo / Remuneración de trabajadores Carta de Asistente Financiero para la escuela Si usted no reclama ingresos, usted debe: 1) llamar al IRS ( ) y solicitor una transcripción de ingresos y salarios 2) Enviar una carta explicando cómo se suministran par alas necisidades básicas de su familia. IV. Prueba de Residencia (uno de los siguientes) Licencia de Conducir de La Florida/ ID con dirección actual Factura o talón de pago en los últimos 60 días. Acuerdo de Renta Ordenes de Militar V. Otro Comprobante de Custodia Legal Carta de Eligibilidad de Estampillas/Medicaid VI. Documentos de Salud necesarios para la incripción Examen Fiscico actual con resultados de heoglobina y plomo Record actual de Vacunas Examen Dental vigente La tarjeta o carta de Medicaid debe ser proporcionada después de que su solicitud haya sido elegida y aprobada para la inscripción.

6 Hillsborough County Public Schools Head Start Sites SCHOOL PHONE SCHOOL ADDRESS Bing, EL th Ave. South, Tampa Bryan PC (VPK) W. Oak Ave., Plant City Burney, Esther PC S. Evers St., Plant City Cahoon (VPK) E. Yukon, Tampa Chiaramonte South Himes Ave., Tampa Citrus Park (VPK) Gunn Highway, Tampa Clair-Mel (VPK-2) S. 78 th St., Tampa Cleveland E. Hamilton Ave., Tampa Cork N. Cork Rd., Plant City Cypress Creek th Avenue NE, Ruskin Desoto Corrine St., Tampa Dickenson (VPK) Kelly Rd., Tampa Dover (VPK-2) Nelson Ave., Dover Edison (VPK) E. Curtis St., Tampa Egypt Lake (VPK) N. Glen Ave., Tampa Encore (VPK) Ray Charles Blvd., Tampa Forest Hills North Ola Ave., Tampa Frost (VPK) Falkenburg Road, Riverview Gibsonton Gibsonton Dr., Gibsonton Graham (VPK) Massachusetts Ave., Tampa James E. Ellicott St., Tampa Just (VPK) Spruce St., Tampa Kenly (VPK) th St., Tampa Knights PC (VPK) N. Keene Rd., Plant City Lamb S. 78 th Street, Tampa Lincoln PC (VPK) E. Renfro St., Plant City Lockhart (VPK) N. 17 th St., Tampa Lopez N. Kingsway Road., Seffner Mango (VPK) Highway 579, Seffner Muller (VPK) North 22 nd Street, Tampa Oak Grove North Armenia Ave., Tampa Oak Park N. 46 TH Street, Tampa Palm River Maydell Dr., Tampa Pinecrest Lithia-Pinecrest, Lithia Potter (VPK-2) E. Cayuga, Tampa Reddick West Lake Drive, Wimauma Riverview Hannaway Rd., Riverview Robinson PC S. Turkey Creek Rd., Plant City Robles E. Sligh Ave., Tampa Ruskin E. College Ave., Ruskin Seminole Central Ave. Tampa Shaw North 15 th Street, Tampa Sheehy (VPK) N. 40 th St., Tampa Springhead PC Nesmith Rd., Plant City Sulphur Springs th St., Tampa Tampa Bay Blvd. (VPK) Tampa Bay Blvd., Tampa Thonotosassa Skewlee Rd., Thonotosassa Thompson E. Shell Point Rd., Ruskin Town & Country Hanley Rd., Tampa Trapnell W. Trapnell, Plant City Washington, B.T. (VPK) Estelle St., Tampa West Shore S. Westshore Blvd., Tampa West Tampa Cherry St., Tampa Wilson PC English St., Plant City Wimauma Hickman, Wimauma Witter (VPK) N. 22 nd St., Tampa 33612

FAMILY INDEPENDENCE ADMINISTRATION Seth W. Diamond, Executive Deputy Commissioner

FAMILY INDEPENDENCE ADMINISTRATION Seth W. Diamond, Executive Deputy Commissioner ` James K. Whelan, Deputy Commissioner Policy, Procedures and Training Lisa C. Fitzpatrick, Assistant Deputy Commissioner