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ApplicationChris Foster2020-09-03T17:43:57-05:00

Parent Application

Step 1 of 7

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  • Do I qualify for Child Care Services?

    Do you meet the monthly income guidelines? (This includes ALL income received on a monthly basis before taxes have been taken out)
  • Please enter a value greater than or equal to 1.
    This should include yourself and any children, but only family currently living in your household.
  • I'm sorry, you do not meet the minimal requirements to apply for CCMS services at this time. If you have any questions, please call our customer service number at (817) 831-0374 for assistance.

  • Congratulations you may be eligible to apply for our services! Please Continue.

  • Personal Information

  • Contact Information

  • Employment Information

  • Warning! If you are not currently employed, you must be either seeking employment, attending school, taking training courses, or be registered with a homeless agency to qualify for services.

  • Please enter a value between 1 and 168.
  • Employment Information (SPOUSE/OTHER)

  • Please enter a value between 0 and 168.
  • School / Training

  • Please enter a value between 1 and 168.
  • Warning! If you are not attending school or taking classes, you must be either be employed, seeking employment, or be registered with a homeless agency to qualify for services.

  • Child Information

  • First NameLast NameDate of BirthDisabilityNeeds Care 
    Add a new row Remove this row
  • Review Information

  • Summary

    {form_title}

    06/02/2023

    {all_fields}


  • I certify that all information provided on this form is true and accurate. I understand that giving false information may constitute fraud and could result in prosecution.
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