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Needing Help Paying for Child Care

The 4C Centralized Eligibility List (4C CEL) is access to free or low cost child care and preschool programs in Santa Clara County.

The 4C Council operates a countywide list of income-eligible families that need child care financial assistance. This is a free service that connects families to over 170 child care locations that receive funding from the California Department of Education to help low-to moderate-income families in their area.

To add your name to 4C CEL, print out and complete a 4C CEL application in the language of your choice, then send it to 4Cs at:

Community Child Care Council of Santa Clara County
150 River Oaks Parkway, Suite F-1
San Jose, CA 95134

Applicants should update their status on 4C CEL every three months by calling 408-487-0749. Due to the high demand for subsidized child care in Santa Clara county, there is no guarantee that everyone who applies will receive assistance.

Or, instead of printing and mailing your application, you may fill out the 4C CEL application questions below and submit them online. Please fill out ALL fields; if a field does not apply to you, please type N/A for that field.


Primary Parent
Relationship to Child
Secondary Parent
Living in the home?

Family Information
Characteristics (check all that apply)
Marital Status:
Housing (check all that apply)
Are you a Community College or University student?

Reason for Care
Primary Parent

 

Secondary Parent
Living in the home?
Monthy Income: Primary Parent
Paid
Hours & Wage
Monthly Income: Secondary Parent
Living in the home?
Paid
Hours & Wage

Eligibility Assessment
Are you currently receiving child care/preschool assistance for your child(ren)?
Have you received Cash Aid (Welfare/TANF/AFDC) within the last 2 years?
Child 1
Special Needs?
If yes
Schedule of Care
Preferred type of child care setting/arrangement
Currently Enrolled?
Child 2
Special Needs?
If yes
Schedule of Care
Preferred type of child care setting/arrangement
Currently Enrolled?
Child 3
Special Needs?
If yes
Schedule of Care
Preferred type of child care setting/arrangement
Currently Enrolled?
Child 4
Special Needs?
If yes
Schedule of Care
Preferred type of child care setting/arrangement
Currently Enrolled?
List children who DO NOT need care

Application Consent

By checking the box below you acknowledge and grant permission for your application to be shared among participating agencies.

- I declare that the above information is complete and true to the best of my knowledge.

- I understand my eligibility is based upon information given here and that documentation will be required prior to enrollment.

- In order to remain active on the CEL, I must take immediate action to inform 4Cs of any changes to my address, phone number or income.

- This application is valid for 3 months, however I understand that if I do not update this application within 3 months, my name will be removed
from the list.

Questions? Call 408-487-0749.

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