School Age Drop-In Program (SA/DIP)
Forms
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- Note - Forms for parents to complete are indicated in red.
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*Indicates forms to be submitted to KDHE (Additional documentation is required)
Instructions for Completing an Application for a SA/DIP 12/2018
*CCL 801 Application 12/2018
*CCL 002 Background and Registry Check 12/2018 en Español 03/2017
CCL 002a Affiliate Roles 12/2018Supplemental Forms in the SA/DIP application packet
CCL 002 Background and Registry Check 12/2018 en Español 03/2017
CCL 002a Affiliate Roles 12/2018
CCL 010 Authorization for Emergency Medical Care 07/2015 en Español
CCL 028 Notification of Injury, Illness, Critical Incident 02/2016 en Español
CCL 356 Application for Program Director Approval 05/2014
CCL 357 Health Status for 14 years & Older 01/2014
CCL 358 Child Health History 01/2014Additional forms not in the application packet
CCL 031 Request for Exception 05/2013
CCL 032 Request for Amendment 05/2013 en Español
CCL 360 Inquiry Regarding Licensure: SAP 01/2014Informational
Child Care Initial & Annual Surveys 09/2014 en Español
Child Care Complaint Survey Information 09/2014 en Español
CCL 006 Reporting Suspected Abuse/Neglect 07/2015 en Español
CCL 008 Licensing of Child Care 09/2014
CCL 036 Selecting Child Care: Guide for Parents 01/2014