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Childcare Application

Childcare Initiative
Grant Application

(please attach rate schedule or note from provider below)

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Supported file types: DOC, DOCX, XLS, XLSX,  PPT, PPS, PDF, XPS, PUB, CSV

Did your child(ren) just enroll in childcare?
Are you related to the childcare provider?

Please choose one:

EMPLOYMENT

STUDENT

OR

(please attach statement from employer below)

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(please attach letter of acceptance/class schedule below)

Upload File

Supported file types: DOC, DOCX, XLS, XLSX,  PPT, PPS, PDF, XPS, PUB

I hereby certify that all of the information provided is correct. accurate and complete. Any misrepresentation or misinformation supplied could constitute immediate return of all grant money and forfeiture of eligibility in the program. North Star Foundation's ability to fund the program is dependent upon financial support and donations made to the Foundation. Consideration for requests is heavily weighted on income and need I understand the submission of an application does not guarantee grant funding. 

Hold down your left mouse button and drag the cursor to add your signature.

The Childcare Initiative application  is successfully submitted. We will review the application and get back to you soon.

Thank you!

Supported file types: DOC, DOCX, XLS, XLSX,  PPT, PPS, PDF, XPS, PUB

NOTE: Please attach rate schedule or note from provider and statement from employer or letter of acceptance/class schedule.

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If you have any questions, send us an email.

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