(Field Trip Policy Continued) Requirements Destination Date Time of arrival and departure Purpose Type of transportation or if walking Cost Must be related to educational activity Teacher Child Care Provider Site Supervisor Ed/Lang. Coordinator Bus Driver Parents Food Notification to cook of how many children and parents, what type of lunch, snack and/or breakfast. Two weeks in advance if at all possible Teacher Child Care Provider Cook Parents Form Emergency Contact Forms Emergency Medical Forms Attendance Sheet Signed and dated field trip permission slip Emergency Program Numbers Teacher Child Care Provider Site Supervisor Parent Medication Medication or equipment Required by a child must be taken on the field trip Proper storage of medication must be provided Trained personnel to administrator medication Teacher Child Care Provider Site Supervisor Parent Children w/special needs Staffing pattern that include: Staff assigned to child w/special needs or responsible assigned care provider Equipment (if required) Medication (if required) Special accommodations at field trip site if necessary (pre-arranged) Teacher Child Care Provider Site Supervisor Ed/Lang. Coordinator Bus Driver Cook Parents Equipment Other Fully stocked 1st Aid Kits Hand Radios (walkie talkie) Cell Phones Sterile disposable wipes Hand stantizer Bottle Water Special needs items Weather items Teacher Child Care Provider Site Supervisor Ed/Lang. Coordinator Bus Driver Cook Parents
TRANSITION PLAN Early Head Start Child’s Name:____________________________________________ Class:_______________ Plan is individualized to meet the parent/child’s individual transitional needs. Date /Time Where Staff present # of children # of staff Notes Exit Date
Teacher Signature Parent Signature Eligibility, Recruitment, Selection, Enrollment, Attendance Plan (ERSEA) PROGRAM YEAR: Program year will coincide with the fiscal year: June to May FY 2013-2014. See Grant notification letter. HEAD START: CENTER BASE OPTION in Klamath, Kepel’ and South District EARLY HEAD START: CENTER BASE OPTION in Klamath, Kepel’ and South District 1305.4 AGE OF CHILDREN AND FAMILY INCOME ELIGIBILITY All applications will be accepted regardless of race, color, religion, sex or National Origin. Yurok Tribe will give preference to enrolled Yurok Tribal Members. To be eligible for Yurok Tribe Head Star/ early head Startt a child must be at least three years old by December 1 of any program year and meet income guidelines and enrollment criteria. To be eligible for Early Head Start you must be pregnant or between the ages of 0 and 36 months and meet program guidelines. Yurok Tribe Head Start/ Early Head Start will follow a selection for enrollment criteria to determine eligibility. Enrollment criteria will consist of completion of required documentation following federal Head Start regulations. All other children will be placed on the waiting list until documents are provided. Contact Tribal Education Director and/ or Assistant education Director for Child Care eligibility requirements.
30 Single Parent 60 All children from Indian and non-Indian families living on the Yurok reservation that meet low-income guidelines: ERSEA Key Indicator #2 40 All children from income-eligible Indian families native to the Yurok reservation but living in non-reservation areas approved as part of the Yurok Tribe's HS/EHS service area: ERSEA Key Indicator #2 20 Living within the sites community Service Area 20 Home Base Enrollee OVER INCOME 25 High Risk: social services referral, CPS safety plan, teen parent, parent incarcerated/rehabilitation center 25 Single Parent 50 Yurok Tribal Member /Descendant with proof of enrollment of self or ancestor. 30 Other Federally Recognized Tribal Member/Descendant with proof of enrollment of self or ancestor. 15 Living site community Service Area: 10 Home Base Enrollee Total If there is a tie with in the ranking criteria the slot will be given to the lowest income. Accepted On waiting list ERSEA Monitor initial: ______________ ________________________________________________ ______________________ Site Family Service Coordinator Date