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Workforce Solutions North Texas

Workforce Solutions is led by a local board consisting of 29 volunteer members, a majority of which come from private industry.

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Child Care Interest Form

Online Application

To submit an online application for Child Care Services, please complete the form below.

Printable Option

If you prefer to print and return the application, download the file below.

Download Child Care Services Interest Form (PDF)

  • We're Sorry!
    Unfortunately, you do not live in our 11-county service area.
    Please contact the local Workforce Development Board in your county of residence.
  • General Information

    (ex: homeless shelter, car, housed with family or friends)
    You may choose multiple options
  • Employment / School Information

    You must be employed, in a job training program, or attending school at least 25 hours per week to be eligible to receive child care services. If you are a two-parent household, both parents hours combined must total at least 50 hours per week to be eligible to receive child care services.
    If you have a future start date please click "yes".
  • If completing internship or clock hour program, list hours per week
  • Spouse / Second Parent Information

    You may choose multiple options
  • If completing internship or clock hour program, list hours per week
  • Please attach the doctor's statement regarding the disability (if available). If unable to attach file, please submit statement to Workforce Solutions Child Care.
  • Household Information

  • Household number should include yourself, spouse (if applicable) and all household dependents
  • Please attach your DD214 document. If unable to attach file, please submit documentation to Workforce Solutions Child Care.
  • Child First and Last NameU.S. Citizen or Legal Immigrant (Y/N)RaceHispanic (Y/N)GenderSocial Security # (voluntary)DOBDisabilityType of child care needed? (full-time, part-time, after school, summer only)Your relationship to the child 
    Add a new row Remove this row
    Please list all children in the household. Missing information may delay processing. All fields required for each child.
  • Signature required (use mouse on computer, or sign by touch on mobile device)

Workforce Solutions North Texas is an Equal Opportunity Employer/Program

Auxiliary aids and services are available upon request to individuals with disabilities.
Relay Texas: 1-800-735-2989 (TTY); 1-800-735-2988 or 7-1-1 (Voice)

Individuals requiring assistance or interpretive services for a Board meeting should call (940) 767-1432 or the TDD number 1-800-735-2989 or 711 within five days of the posted meeting date.

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