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Child Care

Interest Form

PARENTS/GUARDIANS MUST BE WORKING OR GOING TO SCHOOL TO QUALIFY

Child Care payment will be based on a sliding fee scale, according to family size and income. Priority enrollment will be given for those household's income at or below 200 percent of North Dakota's median income.
First Name *
Last Name *
First and Last
IEP:
HAS TO BE 5 YEARS OLD OR YOUNGER
Month
/
Day
/
Year
First and Last
IEP:
HAS TO BE 5 YEARS OLD OR YOUNGER
Month
/
Day
/
Year
First and Last
IEP:
HAS TO BE 5 YEARS OLD OR YOUNGER
Month
/
Day
/
Year

If a spot becomes available,

My child's drop off and pick up time at the childcare center each day of the week would be:

If your child will not be attending on a day, enter N/A. Please note our center is only open from 7am-6pm.

Is your child in Part Day Head Start?
Are you on the Head Start waiting list?
Are you on Child Care assistance?
Income Information to Determine Eligibility
(Employment, Child Support, Social Security, SSI, SSDI...)

SENDCAA offers many more services in addition to childcare and Head Start. Explore this website for additional services.

SENDCAA Child Care Center

located at 3233 S. University

Interest Form

3-5 year olds
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