(please attach rate schedule or note from provider below)
Supported file types: DOC, DOCX, XLS, XLSX, PPT, PPS, PDF, XPS, PUB, CSV
Please choose one employment or student:
(please attach statement from employer below)
(please attach letter of acceptance/class schedule below)
Supported file types: DOC, DOCX, XLS, XLSX, PPT, PPS, PDF
The information I have provided is true and correct. Any misrepresentation or misinformation supplied by me 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 ability to financially support program. Consideration for requests is heavily weighted on income and need. No guarantees, but we will do what we can.
Hold down your left mouse button and drag the cursor to add your signature.
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.
The Childcare Initiative application is successfully submitted. We will review the application and get back to you soon.
Thank you!
