"Improving the quality of care for children of the Central Valley"
 

Online Referrals

F.I.N.D Care Referral Form

F.I.N.D Care must know specific child care requirements to find child care that matches your needs. F.I.N.D Care lists up to four child care referrals at any one time, except in such cases when this is not possible or practical.

Please fill out this form completely. All fields are required to process your information. You will be contacted by a trained F.I.N.D Care counselor within 2 working days.

  • WE MUST BE ABLE TO REACH YOU BY PHONE BEFORE WE WILL RELEASE YOUR CHILD CARE REFERRAL BY EMAIL. IT WILL TAKE APPROXIMATELY 5-10 MINUTES TO COMPLETE THE PROCESS OVER THE PHONE.

  • (example: (559) 555-1212 M-F between 1pm-4pm at work)
    Phone Number/ Best Time to Call
    (Select all that apply)
  • Cross Streets REQUIRED to process information
  • School Name REQUIRED to process information
  • Cross Streets REQUIRED to process information
  • Cross Streets REQUIRED to process information
  • NUMBER OF CHILDREN NEEDING CARE BY AGE GROUP

    (If you are uncertain as to what kind of child care you prefer, mark one choice and then ask the F.I.N.D. Care counselor for more information when he/she contacts you.) CHOICES:
  • LIST ALL CHILDREN NEEDING CARE

    Check one that best applies to your situation
  • REQUIRED to process information
  • REQUIRED to process information
  • REQUIRED to process information
  • REQUIRED to process information
  • This field is for validation purposes and should be left unchanged.

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    Online Referrals

    F.I.N.D Care must know specific child care requirements to find child care that matches your needs. F.I.N.D Care lists up to four child care referrals at any one time, except in such cases when this is not possible or practical.

    Please fill out this form completely. All fields are required to process your information. You will be contacted by a trained F.I.N.D Care counselor within 2 working days.











    *REQUIRED*

    *REQUIRED*

    *REQUIRED*

    *REQUIRED*

    *REQUIRED*

    *REQUIRED*

    *REQUIRED*

    Please include area code

    Please include area code

    *REQUIRED*
    We must be able to reach you by phone before we will release your child care referral by email. It will take approximately 5-10 minutes to complete the process over the phone.

    *REQUIRED*

    *REQUIRED*

    (example: (559) 555-1212 M-F between 1pm-4pm at work)

    Phone Number/ Best Time to Call

    *REQUIRED*
    (Select all that apply)


    *REQUIRED*

    Cross Streets REQUIRED to process information

    School Name REQUIRED to process information

    Cross Streets REQUIRED to process information

    Cross Streets REQUIRED to process information
    Number of children needing care by age group

    *REQUIRED*

    *REQUIRED*
    (If you are uncertain as to what kind of child care you prefer, mark one choice and then ask the F.I.N.D. Care counselor for more information when he/she contacts you.) CHOICES:

    *REQUIRED*
    List all children needing care

    *REQUIRED*

    *REQUIRED*
    Check one that best applies to your situation

    REQUIRED to process information

    REQUIRED to process information

    REQUIRED to process information

    REQUIRED to process information