Parent Inquiry

If you feel you qualify for subsidized childcare, you can start the process by completing the form below. Someone will contact you to complete the process.

For general questions, please contact us or visit the Staff Directory to find a staff member's contact information.

Does anyone in your household receive County Assistance benefits? *
If yes, what type of benefits?
Have you received cash assistance within the past 6 months? *
Do ALL parents/caregivers work 20 hours/week? *
Is any parent/caregiver self-employed? (check all that apply)
What days do you need childcare? *
Childcare Provider-Preference *
Are you interested in Head Start/Early Head Start?