Child Care Needs in NEA

1.The total number of children in my household is…(Required.)
2.My youngest child is…(Required.)
3.I currently have child care that meets my needs for employment hours.(Required.)
4.My arrival to work most closely resembles…(Required.)
5.My time leaving work mostly resembles….(Required.)
6.List 1-2 towns which are most convenient for your child care needs.(Required.)
7.I prefer child care to be…(Required.)
8.Do you have back-up child care options for children under age 5?(Required.)
9.Do you have back-up child care options for children over age 5?(Required.)
10.My household size qualifies for Arkansas childcare assistance based on income and employment.

The Sliding Scale is available on the Arkansas DHS website.
(Required.)
11.I am familiar with the term ‘Better Beginnings’ and what it means in relation to licensed child care providers.(Required.)
12.I would like to be contacted to discuss child care options. Provide name and phone number below.