FCC Provider Interest Form

First Name

Last Name

Primary Phone Number

Are you 18 years of age or older?

Yes

Are you located in the United States or any U.S. territories?

Yes

Please enter your street address so we can find FCC programs near you.

Address 1

Address 2

City

State

ZIP Code

Please select the installation where you live.

Installation

Submit the Provider Interest Form to begin your journey towards becoming a certified Family Child Care (FCC) provider. Please note that this form is not for requesting child care or military fee assistance.

If approved to apply, you must complete an application and meet all requirements, including criminal history checks for all household members aged 18 years and older.

For more information on FCC provider requirements, visit Become an FCC Provider. To contact your installation’s FCC Program, use the Installation Map, Search for Care feature.