To begin your application process, please complete the questionnaire below.
Complete Questionnaire in English
*This is not the enrollment application
Complete el cuestionario en español
*Esto no es la solicitud de inscripción
For more information on how to apply, call today.
- Arbuckle: (530) 476-2115 ext. 1
- Colusa: (530) 458-2823 ext. 1
- Williams: (530) 473-2246 ext. 1
- Business Office in Colusa: (530) 458-0350
Required Documents to Complete Intake Application
Please have the required documentation that applies to your family circumstances from the list below to complete the intake application process. You must provide all applicable documentation for every adult in the household.
Income:
- Most recent W-2’s AND 2022 income tax forms
- Self Employment Records (quarterly and/or monthly)
- All wage stubs or year to date income information from all employers from January 2022 to present
- Dividends, Interest
- Unemployment income (Form 1099 for previous year and Print Out from EDD for current unemployment
- SSI/SSP
- Public Assistance/TANIF Notice of Action or Passport to Services Printout
- Cash or other Assistance (do not include food stamps)
- Disability Income (State and/or Private)
- Child Support Payments (received)
- Child Support Payments (paid out)
- Worker’s Compensation
- Alimony (received or paid out)
- Pensions
Note: If all documents necessary are not submitted at time of appointment, your application will be incomplete and you will have to re-schedule.
Program Eligibility
Children's Services has programs that serve the children of
parents who are working, seeking employment or who are in training. Subsidized child care is available to
families who meet the State's income and eligibility requirements of the
California Department of Education Child Development Division or the Federal
Head Start/Early Head Start program.
In addition migrant child care eligibility prioritizes:
- Children who have migrated within one year.
- Children who have migrated in the past five years.
- Children whose parents receive half of their income from
agricultural related work.