This paper describes a model providing a framework through which communities can work to meet the critical shortage of adequate quality child care facilities and services in rural as well as urban areas. This CETA program model, called the Fresh Start Approach, offers skills training and supportive services to economically disadvantaged women within the Worcester, Massachusetts, Manpower Consortium area who wish to become child care aides in schools and centers. Following an introductory chapter discussing the rationale for developing such a model, the approach is described in terms of objectives, design and activities, the characteristics of the Worcester Manpower Consortium as a prime sponsor, the grantee, participants' characteristics, the training cycle, and use of the model. Related materials corresponding to each of the above issues are appended. (MP)