Head Start

Policies, Procedures, and Forms

EMERGENCY & SECURITY POLICIES & PROCEDURE

CHILD HEALTH AND DEVELOPMENT

EDUCATION AND EARLY INTERVENTION

Policies	Forms & Info
Behavior Management Policy	First Parent Teacher Conference
Outside Play Policy	First Home Visit Checklist
Video Use Policy	Second Parent Teacher Conference
Year End & Holiday Celebrations	Daily Lesson Planning Form
School Transition Policy	Second Home Visit/FPA
Toileting Policy	Daily Planning Checklist
Baseline Instructions	Last Parent Teacher Conference

CHILD HEALTH AND SAFETY

Policies	Forms & Info
Child Abuse and Neglect Policy	Abuse and Neglect Report Form
Exclusion and Admittance	Parent Exclusion Letter
Medication Administration Policy	Medical Accommodation Consent and Release Form Medical Bus Transportation Consent Release Form Bus Meds Transport Form
Bloodborne Pathogens	Barrier Checklist
	Fluoride Supplement Permission Form Fluoride Supplement Permission Form Spanish Fluoride Tracking Form
Head Lice Policy	Head Lice Information Health Lice Information Spanish Lice Outbreak letter Lice Outbreak letter Spanish Your Child Has Lice Letter Your Child Has Lice Letter Spanish Follow up Lice Letter Follow up Lice Letter Spanish Lice Parent Packet
Universal Precautions Policy	Safety Checklist First Aid Checklist

CHILD NUTRITION

Policies	Forms & Info
Food Guidelines Policy	USDA Paperwork Checklist Form
Classroom Nutrition Policy	USDA Breakfast and Lunch Sheet
Recording and Reporting Policy	SUU Purchasing Card Tracking Form
	Field Trip Request Form
Food Transportation and Acceptance Policy	Food Transportation and Acceptance Form

CHILD MENTAL HEALTH

Policies	Forms & Info
Mental Health Assessment & Concerns	Mental Health Flow Chart

FAMILY PARTNERSHIPS

Policies	Forms & Info
Emergency or Crisis Assistance	Family Profile Form Family Profile Form Spanish
Family Partnerships	Family Goals Sheet 1 Family Goals Sheet 2
	Community Resource Referral Form Community Resource Referral Form Example 1 Community Resource Referral Form Example 2 Community Resource Referral Form Example 3
	Family Log 1 Family Log 2
	Parent Participation Log
	Parent Interest Quesionnaire
	Family Resource Referral Checklist Family Resource Information

COMMUNITY PARTNERSHIPS

Policies	Forms & Info
	Community Resource Information

PROGRAM GOVERNANCE

Policies	Forms & Info
Policy on Impasse and/or Mediation	Roles and Responsibilities (info)
Charge to the Advisory Committee	Parent Orientation Cover Sheet Parent Orientation Instructions Parent Orientation Minutes
Policy Council Recruitment
Parent Activity Funds	Request for Parent Funds Form
	Parent Committee Officers Form Policy Council Reps Form Fatherhood Initative Reps Form
	Reimbursement Invoice for Policy Council Activities (Child Care) Form Reimbursement Invoice for Parent Meetings (Child Care) Form
	Parent Committee Meeting Minutes Form Parent Committee Meeting Roll Form

MANAGEMENT SYSTEMS AND PROCEDURES

Policies	Forms & Info
Information and Image Release Policy	Information and Image Release Form
Letters of Support for Parents

PURCHASING, TRAVEL AND INKIND '

Policies	Forms & Info
Parent in-kind Summary	In-Kind Valuation Form
Staff Non-Federal Share	In-Kind Form In-Kind Form Spanish
Community Donations Policy	Sign In Sign Out Form
Parent Fund Raising	Parent Committee Meeting Roll Form
Field Trip Policy and Procedure	Field Trip Request Form
Cost Allocation	SUU Purchasing Card Guidelines

HUMAN RESOURCE MANAGEMENT

Policies	Forms	Other
Code of Conduct	Hourly Staff Application Form	Organizational Chart for Head Start Staff
Improving Staff Qualifications	New Staff Orientation Form	Job Description of Central Office Staff
Professional Conduct During Work Hours	Volunteer Orientation Checklist Form	Salary Scale Teachers
Adult Dress Code Policy	Employee Physical Examination Form	Family Advocate Job Description
Confidentiality Policy	Policy Council or Parent Interview Form	Teacher Job Description
Teaching Staff Contract Hours and Days	Policy Council New Employee Approval Form
Leave Procedure	Leave Request Form
Grievance Procedure for Parents
Concerns/Complaints from Staff
Concerns/Complaints from Community
Use of Cell Phones
Link to SUU Policies and Procedures
Performance Appraisal Policy
Job Conflict Policy

FACILITES, MATERIALS AND EQUIPMENT

Policies	Forms
Policy on Facilities and Equipment	Equipment Certification Form
Policy on Vehicles
Use and Disposition of Head Start Equipment

ELIGIBILITY, RECRUITMENT, SELECTION, ENROLLMENT, AND ATTENDANCE

Policies	Forms
Conducting a Community Assessment	English Child Application Form Pages 1 & 2 English Child Application Form Page 3
	Spanish Child Application Form Pages 1 & 2 Spanish Child Application Form Page 3
Days of Operation	Medical Home Assessment Medical Home Assessment - Spanish
Attendance Policy	Change/Drop Form
Re-Enrollment of Kindergarten-aged Children	Re-Enrollment of Kindergarten-aged Children Work Sheet
School Closure and Make Up Days
Home Visit Make Up Policy

SERVICES TO CHILDREN WITH DISABILITIES

Policies	Forms
Early Screening Inventory Procedures	Consent for Assessment Early Screening Form / NRS Assessment Form
	Core Curriculum Report for Rescrees ESI
	Request for Assessment and Referral Form
	IEP Accountability Form
	School District / Head Start Referral Form

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Last Update: Thursday, August 20, 2009