PARTICIPANT QUALIFICATIONS & CONDITIONS
Eligibility Criteria: Participants must provide documentation of eligibility in 1 or more of these eligibility categories: Child is Recipient of Child Protective Services or Child Identified as At-Risk o Documentation of Monthly Income AND o Referral Letter Family Experiencing Homelessness o Documentation of Monthly Income AND o Referral Letter OR o Parental Declaration of Homelessness Child has Exceptional Needs o Documentation of Monthly Income AND o Individual Family Services Plan (IFSP) OR o Individualized Education Program (IEP) Approved Neighborhood School Boundary o Self-Certification of Income AND o Verification of Home Address (Example: Utility bill | Property tax bill | Voter registration | Rental/lease agreement | Government agency letter | Pay stub) Receiving Benefits from Governmental Program
NOTE: 5% of CSPP funded enrollment is reserved for Children with Exceptional Needs
Current Aid Recipient o Documentation of CalWORKs Cash-Aid (Example: Notice of Action | Receipt of Cash-Aid | Verification of Benefits)
Medi-Cal, CalFresh, California Food Assistance, California Special Supplemental Nutrition Program for Women, Infants and Children (WIC), Food Distribution Program on Indian Reservation, Head Start or Early Head Start. o Enrollment Documentation, such as Notice of Action | Receipt of Aid | Verification of Benefits AND o Copy of Governmental Program Application OR o If not available, Self-Declaration of Income as declared on the program application Income Eligibility ( Income eligible & 15% above income threshold) Guardian or Foster Parent(s): o Documentation of Monthly Income (For child and their related siblings) Biological or Adopted Parent(s):
o Authorization to Release Employment Information (if applicable) AND o Parent Notification: Requirement to Report Income Over Threshold o Documentation of Monthly Income (ALL sources for ALL parents in family) Regular & Steady Income: Total countable income from either month of the 2-month window immediately preceding certification Fluctuating or Inconsistent Income: Total countable income from 12 months immediately preceding certification
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