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Starfish Family Services Thrive by Five Detroit is funded by the U.S. Department of Health & Human Services

If there are any issues with this website please contact Darlene Miller @ (webmaster)

Detroit’s home for high quality Head Start education.

Providing a foundation for family success from pregnancy through age five.





RED Folder

Enrollment Packet

​​​​​Applicant & Family Member Information​

Family Information, Income & Contacts

Applicant Eligibility & Enrollment Information

​Application Addendum 2017​​​

Child Information Record - Page 1  | Page 2

Pre-Registration​​​ Form

Re-Enrollment Application​

Acknowledgement Notice of Privacy

Form A Income Verification

Form B & C Income Declaration

Form D 3rd Party Verification - Homeless

Selection Criteria​ 2017-18​

Home Base Contract​

Attendance-Late Pick Up 2017-18​


Applicant Information_Spanish 2017-18


Family Information & Contacts_Spanish


Family Enrollment & Eligibility -Spanish​

Child Health Record

Expectant Mother Transition Plan

Enrollment Application

Form B- No Income Declaration​

Form C- Cash Income Declaration

Form D- 3rd Party Verfication​

Home Based Contract

Re-Enrollment App

BLUE Folder


Date of Well Baby/Physical Examination-New

Child Health History

Head Start Oral Health Form

Infant Nutrition Questionnaire (Birth-12mo.)

Child Nutrition Questionnaire

Parent Permission-Tropical Cream or Ointment

Hearing and Vision​ Permission

SFS Medication Authorization​​​

Seizure Action Plan-

Seizure Activity Documentation

Asthma/Allergy Action Plan​​​​

Hemoglobin & Lead Permission

Anaphylaxis Emergency Section Plan-

Pregnant Moms

Two Week Postpartum - Newborn Checklist

Prenatal Exam Form​

Pregnant Mom File Checklist

Pregnant Mom Nutrition Questionnaire

Expectant Mother Transition Plan

Pregnant Mother Health History Form

Pregnant Mom Homebased Narrative

Grey Folder

Home Visit and Parent/Teacher

Conference Check List

ASQ-3 Screening Results

Trans DEHS 90-180 day

ASQ-Parent Letter

ASQ-SE2 Parent Conference

Pink Folder

FSA FSA w/ added PFCE Questions​

Green  Folder

Blank Staff Report Form - 2017-18

Ind Observation Form

Manilla Folder

Child Home Visit Narrative

Home Base Contract

Expectant Family Home Visit


Parent Interest Survey

EHS Lesson Plan

Fatherhood | Male Involvement Survey

EHS Lesson Plan

Parent Permission Diaper​

File Checklist