Event with each visit as an Action. Center type (center, Agency Set up combination, Center Name All caps Child Applicant Enrollment Section 1 Center Classroom Name All caps Child Applicant Enrollment Section 1 Classroom Birthdate of 00/00/0000 Family Application: Primary Adult Primary Adult Section 1 Birth Day Education of # of years be Family Application: Agency Specific Area: : Primary Adult** replaced with : Primary Adult No Formal Education No Formal Section 1 < Grade 9 or less Education Highest Completed Some High School < Grade 9 or less HS Grad/GED Some High School Some College HS Grad/GED 4 yr degree or higher Some College 4 yr degree or higher Eligibility basis** Income, Child Applicant: homeless, Enrollment foster, disability Section 3 Income Status Family Type** 2 parent home, Family Application: one parent home) Family Information Section 1: Parental Status Primary Adult Foster / Natural, Family Application: Relationship to Adopted, Step/ Child Applicant: child: Other Section 1: Adult/Child Relationship/custody WIC Yes/no/na Family Application: participation** Family Information: Section 2: WIC
Event with each visit as an Action. Center type (center, combination, Agency Set up Center Name All caps Child Applicant Enrollment Section 1 Center Classroom Name All caps Child Applicant Enrollment Section 1 Classroom Birthdate of Primary Adult 00/00/0000 Family Application: Primary Adult Section 1 Birth Day Education of Primary Adult** # of years be replaced with : No Formal Education < Grade 9 or less Some High School HS Grad/GED Some College 4 yr degree or higher Family Application: Primary Adult Section 1 Highest Completed Agency Specific Area: : No Formal Education < Grade 9 or less Some High School HS Grad/GED Some College 4 yr degree or higher Eligibility basis** Income, homeless, foster, disability Child Applicant: Enrollment Section 3 Income Status Family Type** 2 parent home, one parent home) Family Application: Family Information Section 1: Parental Status Primary Adult Relationship to child: Foster / Natural, Adopted, Step/ Other Family Application: Child Applicant: Section 1: Adult/Child Relationship/custody WIC participation** Yes/no/na Family Application: Family Information: Section 2: WIC
ChildPlus%20Manual%20Approved%20Aug%202014.docx