Eligibility List Online Application
Eligible families can receive financial help with their child care costs. To see if you qualify, complete the application below.
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Note: Please DO NOT click the browser's back button or the information you entered will be lost.
Your information will not be submitted until you have completed the final step of “Confirm and Submit.”

Parent Information

An email address is required to complete this application. We will use this email to communicate with you in the future.
 
  
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A numeric value (street number, P.O. Box, etc) is required for this field.
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Click here to return to the information for the primary parent.
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