Apply in One of Our Programs

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To begin your application process, please complete the questionnaire below.  //  Para comenzar con tu proceso de solicitud, por favor completa el siguiente cuestionario.

Complete Questionnaire in English
*This is not the enrollment application

Complete el cuestionario en español *Esto no es la solicitud de inscripción

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A P.S.A. will contact you to set up an Intake Application Appointment.  // Una P.S.A. se pondrá en contacto contigo para programar una cita para la Solicitud de Ingreso.

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 2023 income tax forms
  • Self Employment Records (quarterly and/or monthly)
  • All wage stubs or year to date income information from all employers from January 2023 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.

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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.

 CONTACT
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Rocio Garcia
Program Services Assistant IV
at Children's Services Main Office
(530) 458-0350 ext. 10379
[email protected]


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Guadalupe Paiz-Saavedra
Program Services Assistant III
at Children's Services Main Office
(530) 458-0350 ext. 10302
[email protected]

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 Valerie Pineda
Program Services Assistant III
at Children's Services Main Office
(530) 458-0350 ext. 10340
[email protected]

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