Intake Process
Program Requirements
#'s and %'s
All things ERSEA!
What Would You Do?
100

True or False: Gross wages are used to calculate eligibility based on income.

What is True?

100

Which of the following is an approved form of address verification for the Head Start Birth to Five Program: Utility Bill, AZ Driver's License, or Cell Phone Bill

What is a Utility Bill?

100

The Head Start grant must include a minimum of this percentage of all slots to be occupied by children with disabilities (IEP/IFSP).



What is 10% of funded enrollment?



100

 ERSEA stands for the following:

What is Eligibility, Recruitment, Selection, Enrollment, and Attendance?

100

True or False: Income is collected for families experiencing homelessness or children living in foster care.

What is false?

200

True or False: Pell Grants and scholarships are counted as income when determining eligibility for a parent attending school. 

What is True? Pell Grants and scholarships are taxable income.


HSPS- 1305.2 (Terms)

200

This is the definition of family, for the purpose of the intake application.

Who is anyone residing in the home related by blood, marriage, adoption or is supported financially by the head of household?

200

This is the percentage of children a program must maintain on a waitlist.

What is 20%?

200

This is the only time income eligibility is not determined on an intake.   

What is a second year intake for Preschool?

200

Gina wants to fill out an application for her 3-year-old daughter, Olivia. Gina and Olivia live with Gina's unemployed parents in a house they own. Gina works and pays for all of the household expenses. This is considered a family size of...

What is a family of 4?

300

When completing an intake for a family who does not have age verification documents, a staff member would...

What is continue the intake process and provide the family with resources to obtain proper documentation?

300

Julie is a single parent who works as a hairstylist. She works out of her home and is paid in cash; she does not file tax returns. You would verify her income using this document.

What is a Self-Declaration form?

300

A program must maintain what percentage of monthly attendance.

What is 85%?

300

Recruitment efforts are completed in this timeframe.

What is year round or based on program need?

300

John and Mary have five children living with them. They have one foster child, two biological children; one adopted child, and a 17-year-old friend of the family that had nowhere else to go and has been staying with them for the past six months. They want to enroll the foster child in Early Head Start. This is considered a family size of...

What is a family of 1?

400

This is the only document required by the Office of Head Start to be signed during the intake.


What is the Eligibility Verification Form?

400

This is when staff would not re-establish eligibility. 


What is re-enrollment in the same program year; 2nd year intake, and EHS rollover families because eligibility remains current.

400

The timeframe that the program must fill all vacancies.  

What is 30 calendar days?


HSPS- 1302.15 (a)

400

The process in HS or CCP when a child has missed 2 or more school days in the past month.  


What is contact the teacher and parent to see why the child has been out, complete an attendance plan if needed and ensure all proper documentation is completed? 

HSPS - 1302.16 (iv)

400

2 Part Question: Sandy wants to enroll her two children; Carlos is four, and Isabella is one. Sandy explains that she and the children live with her boyfriend, Isabella's father, but not Carlos'. Mom's boyfriend is employed and is the sole provider. 

1)The family size for Carlos is...

2)The income process utilized for this intake is...

What is a family size of 3 – Carlos, mom and Isabella?

What is the self-declaration form, family would have zero income as they are supported by a third party.

500

This time frame is used when determining income eligibility.



What is the relevant time period?

*HSPPS 1302.12(i)-Relevant time period means: (A) the 12 months preceding the month in which the application is submitted; or (B) during the calendar year preceding the calendar year in which the application is submitted, whichever more accurately reflects the needs of the family at the time of application.

500

These are the 6 acceptable documents used to determine age eligibility. List 3 of the 6...

What is the birth certificate, hospital record, baptism record, passport, notice to provider (legal foster care documentation) or Immunization card for EHS?

500

This is the Federal Poverty Level % when a family is no longer considered income eligible for the Birth to Five Program without being considered over income.

What is over 130% of the federal poverty level (due to waiver) or over 100% of the federal poverty level (without the waiver)?  

500

The 5 categories that make a family Categorically Eligible at the time of intake.

What is a family experiencing homelessness (as defined by Mckinney Vento), a child in foster care, SNAP, SSI- Supplemental Income and TANF? 

500

2 Part Question: Sandy wants to enroll her two children; Carlos is four, and Isabella is one. Sandy explains that she and the children live with her boyfriend, Isabella's father, but not Carlos. Mom's boyfriend is employed and is the sole provider. 

1)The family size for Isabella is...

2)The income process utilized for this intake is...

What is a family size of 4 to include Isabella, Carlos, mom and dad. 

What is collecting income documentation from dad as he is related by blood to Isabella and financially supporting the family.