Run Head Start ERSEA Eligibility Verification Checklist — Free

Applicant Identity and Basic Record Completeness

Full legal name is documented for the child critical (required)

Yes No N/A

Date of birth is documented and matches supporting records critical (required)

Yes No N/A

Birth certificate or equivalent proof of age is on file critical (required)

Yes No N/A

Photo evidence (optional)

Parent/guardian contact information is complete and current

Yes No N/A

Application file is signed and dated by the parent/guardian or authorized representative critical (required)

Yes No N/A

Eligibility Determination

Eligibility category is identified and documented critical (required)

Income documentation is complete and supports the determination, if applicable critical (required)

Yes No N/A

Eligibility determination date is documented critical (required)

Eligibility reviewer name and role are documented

Supporting eligibility documents are present, legible, and consistent critical (required)

Yes No N/A

Recruitment, Selection, and Enrollment

Recruitment or outreach record is present when required

Yes No N/A

Selection criteria or priority factors are documented critical (required)

Yes No N/A

Selection decision is supported by the file and consistent with program policy critical (required)

Yes No N/A

Enrollment date is documented critical (required)

Enrollment notification or acceptance record is present

Yes No N/A

Attendance and Ongoing Participation

Attendance is recorded consistently for the review period critical (required)

Yes No N/A

Absences are documented with a reason when available

Yes No N/A

Attendance concerns or patterns are escalated according to procedure

Yes No N/A

Attendance records align with enrollment dates and classroom assignment critical (required)

Yes No N/A

Documentation Quality, Corrective Action, and Sign-Off

Any deficiency or non-conformance is documented with a corrective action plan critical (required)

Yes No N/A

All required supporting documents are legible, dated, and filed in the correct location

Yes No N/A

Inspector comments summarize exceptions or unresolved items

Inspector signature critical (required)

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Run: Head Start ERSEA Eligibility Verification Checklist

Applicant Identity and Basic Record Completeness

Eligibility Determination

Recruitment, Selection, and Enrollment

Attendance and Ongoing Participation

Documentation Quality, Corrective Action, and Sign-Off

Get your results