Child Care Renewal Questionnaire Do you live in Cooke, Fannin, or Grayson County?* Yes No If you are a single parent household, are you currently working and/or in job training or attending an educational program for an average of 25 hours or more a week? - OR – If you are a two-parent household, are you and your spouse/significant other BOTH currently working and/or in job training or attending an educational program for a combined average of 50 hours or more a week?* Yes No Is your gross monthly household income lower than the income guidelines outlined in the table below (be sure to exclude child support and SSI)?* Yes No Gross monthly income = before taxes are taken outFor a complete list of excluded income, click here Family Size - 2 Gross Monthly Income - $5,216 Family Size - 3 Gross Monthly Income - $6,443 Family Size - 4 Gross Monthly Income - $7,670 Family Size - 5 Gross Monthly Income - $8,897 Family Size - 6 Gross Monthly Income - $10,125 Family Size - 7 Gross Monthly Income - $10,355 Family Size - 8 Gross Monthly Income - $10,585 Family Size - 9 Gross Monthly Income - $10,815 Family Size - 10 Gross Monthly Income - $11,045 Thank you for inquiring about child care assistance. According to your response you are not eligible for our program at this time. If your circumstances change, please contact us to re-assess your eligibility for this program.For additional information on child care available in our area, you can call 2-1-1
