ERSEA Forms
Family Size
Interviews
Programs
Head Start/Early Head Start
100

A person who has no income for the Relevant Time Period must complete a ______________

What is Zero Income Questionnaire/Verification FCP 311a

100

______ means all persons living in the same household who are supported by the child’s parent(s)’ or guardian(s)’ income; and are related to the child’s parent(s) or guardian(s) by blood, marriage, or adoption; or are the child’s authorized caregiver or legally responsible party.

What is Family

100

Families with no current income are automatically eligible for Head Start/Early Head Start. True or False?

What is False.

100

90-minute visit each week – Serving expectant mothers, infants, toddlers, and children through age 3 (turn 3 after 9/1).

What is the Home Based Program

100

_________ is funded by the federal government and is available free of charge to low-income families who have 3- to 5-year-old children. 

What is Head Start

200

A  _________ disclaimer is needed for the applicant and other siblings living with a single-parent.

What is Child Support Disclaimer FCP 303

200

John and Mary have 5 kids living with them. They have 1 foster child, 2 biological children, 1 adopted child, and a 17-year-old friend of the family that had nowhere else to go so they have allowed him to live with them for the past 6 months. They are his legal guardians. They come to fill out an application for their foster child. How many are in the family?

What is one.

A foster child is always a family of 1. They do not count in someone else’s family, and the other members of the household do not count in their family number.

200

You should not mention the word “homeless” to the family because they may take offense to that word being used to describe their living situation. You should use the term ______________ instead.

What is Family in Transition

200

Offered at FHES, HPA, RBCES, and WES

What is Early Head Start Center Based

200

Recipients of these two federal programs are income eligible for Head Start/Early Head Start ________________________ and __________________________

What are SSI and TANF

300

A person that cannot provide last year's tax information, pay stubs, or any other document to verify their income must complete a _______________

What is Self-Declaration of Income Verification FCP 311

300

Allison and John have two kids: 3-year-old Chris and 2-year-old Sam. Allison also has another child, Grayson (14 years old), from a previous marriage that lives with them. John comes in to fill out an application for 3-year-old Chris. How many are in the family?

What is five 

300

In general terms, _________ is commonly defined as an adult (related, unrelated, or with close family ties) that provides ongoing live-in care for a child as their guardian.

What is Kinship Care

300

6.5 hour a day program for children who are at least 3 on or before 9/1 of the applying year offered at 20 elementary school in Pasco County.

What is Head Start

300

In ______, the Early Head Start program was established to serve children from birth to age three.

What is 1994

400

___________ form is used for address/phone/custody change/name change.

What is Change of Status form or FCP 105

400

Tina is 19 years old, has never worked at a job, and still lives at home with her mom and dad. She has a 3 year old daughter named Sidney. She comes to fill out an application today for Sidney. She tells the interviewer that her mom and dad pay for everything for her and Sidney including their clothes, food, etc. How many are in the family?

What is two (Tina and Sidney)

400

For military leave and earnings we only count ___________

What is Base Pay which is for 12 months

400

Every school in Pasco County has this program?

What is Special Education Preschool program/Clinic Speech

400

Since its creation in ______, Head Start has provided comprehensive child development services for millions of children to ensure that they are well prepared for kindergarten.

What is 1965

500

VPK age applicants will need a ___________  letter as part of the interview process.

What is the Dual Services letter FCP 109

500

Gina comes to fill out an application for her 3-year-old daughter. Gina and her 2 kids live with Gina’s parents. The house belongs to her parents, but Gina works at a job and pays all of the bills including the electricity, water, etc. for the entire family. How many are in the family?

What is family of 5

Since the grandparents are “supported by the income of the parent (Gina)” and they are “related to the parent by blood, marriage, or adoption,” this means they are counted in the family for the enrolling child. If Gina’s income was not supporting them, they would not be counted

500

College scholarships, grants, fellowships, assistantships, dividends, net gambling or lottery winnings are consider ___________________

What is income

500

When parents walk-in or call the school asking about pre-school services and they have an IEP or IFSP they should be referred to:

What is Pre-K ESE

500

_________ manage how programs determine eligibility, enroll children, and track attendance

What is ERSEA

M
e
n
u