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Workforce Solutions East Texas Child Care Services offices are closed in observance to Thanksgiving, Thursday, November 23, 2023 and Friday, November 24, 2023.
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Child Care Services Parent Waitlist Application Form
Pre-Qualification
Personal Information
Children
Households
Signature
Complete
Waitlist Information
Waitlist Criteria
The child
must
be born, to be on the waitlist.
The person applying for services
must
have primary custody of the child(ren) needing services. If applicant is not the parent of the child needing services, then applicant must provide the following with the application:
Reason the parent is not available, and
Paperwork verifying reason parent is not available, and
Paperwork verifying that applicant is the person responsible for the child.
Paperwork verifying that applicant is the person responsible for the child.
Child care is required for the parent to work or attend job training or educational program for a combination of at least an average of 25 hours per week for a single-parent family or a total combined 50 hours per week for a dual-parent household.
Household members include
those that live in the household: parents, step-parents, adult dependents and a child or other minor living in the household who is the responsibility of the parent.
If taxes are not taken out of pay or person is paid cash-we consider that person to be self-employed.
Families who identify as homeless are exempt from this requirement to apply for services.
Families who do not meet the above minimum participation requirements for At-Risk child care eligibility but who are otherwise eligible shall qualify for child care while searching for work.
Families
must
live within one of these counties: Anderson, Camp, Cherokee, Gregg, Harrison, Henderson, Marion, Panola, Rains, Rusk, Smith, Upshur, Van Zandt, Wood.
Families who owe recoupment, anywhere in Texas, are not eligible to enroll or continue services until the recoupment has been paid in full.
Pre-Qualification
Select the county in which you live
Please Select
Anderson
Camp
Cherokee
Gregg
Harrison
Henderson
Marion
Panola
Rains
Rusk
Smith
Upshur
Van Zandt
Wood
None of these
Do your total family assets exceed $1,000,000?
Please Choose
Yes
No
Select your parental household status
Please Select
Single Parent Household: Parent is working, attending school, in training/other educational program, or combination of these, at least an average of 25 hours each week over a four-week period.
Dual-Parent Household: Working or attending job training or educational program for a combination of 50 hours per week.
None of the above
Household
--people that live in the household: parents, step-parents, adult dependents and a child or other minor living in the household who is the responsibility of the parent.
How many people are in your household including yourself?
Please Select A Number
2
3
4
5
6
7
8
9
10
11
12
13
14
15
The following income sources are excluded from the family income:
Medicare, Medicaid, SNAP benefits, school meals, and housing assistance;
Monthly monetary allowances provided to or for children of Vietnam veterans born with certain birth defects;
Needs-based educational scholarships, grants, and loans; including financial assistance under Title IV of the Higher Education Act--Pell Grants, Federal Supplemental Educational Opportunity grants, Federal Work Study Program, PLUS, Stafford loans, and Perkins loans;
Individual Development Account (IDA) withdrawals for the purchase of a home, medical expenses, or educational expenses;
Onetime cash payments, including tax refunds, Earned Income Tax Credit (EITC) and Advanced EITC, onetime insurance payments, gifts, and lump sum inheritances;
VISTA and AmeriCorps living allowances and stipends;
Noncash or in-kind benefits such as employer-paid fringe benefits, food, or housing received in lieu of wages;
Foster care payments and adoption assistance;
Special military pay or allowances, including subsistence allowances, housing allowances, family separation allowances, or special allowances for duty subject to hostile fire or imminent danger;
Income from a child in the household between 14 and 19 years of age who is attending school;
Early withdrawals from qualified retirement accounts specified as hardship withdrawals as classified by the Internal Revenue Service (IRS);
Unemployment compensation;
Child support payments;
Cash assistance payments, including Temporary Assistance for Needy Families (TANF), Supplemental Security Income (SSI), Refugee Cash Assistance, general assistance, emergency assistance, and general relief;
Onetime income received in lieu of TANF cash assistance;
Income earned by a veteran while on active military duty and certain other veterans' benefits, such as compensation for service-connected death, vocational rehabilitation, and education assistance;
Regular payments from Social Security, such as Old-Age, and Survivors Insurance Trust Fund;
Lump sum payments received as assets in the sale of a house, in which the assets are to be reinvested in the purchases of a new home (consistent with IRS guidance);
Payments received as the result of an automobile accident insurance settlement that are being applied to the repair or replacement of an automobile; and
Any income sources specifically excluded by federal law or regulation.
Is your gross family income (before taxes) less than [Amount] per month?
Please Choose
Yes
No
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