June 2022 Child Care Stabilization Grant Scholarship Application

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This application is for the families who attend the before and after school programs run by Child Central Station, LLC at the Sandy Knoll Elementary School and Superior Hills Elementary School. Funding for these scholarships was made possible through the Child Care Stabilization Grant that was received by the program.

Full name of Parent/Guardian filling out this form: *

Name of child(ren) who attend our program *

Which program do(es) your child(ren) attend? *

Sandy Knoll Elementary School Before and After School Program

Superior Hills Elementary School Before and After School Program

Other:

Have you applied for childcare assistance through the State of Michigan? *

Yes and our family qualifies

Yes and I am waiting to find out if our family will qualify

Yes and I received a denial letter, our family does not qualify

No, I'm not sure how to apply

No, I looked at the income guidelines and can guarantee that our family will not qualify

Our family is requesting a tuition scholarship to attend the above mentioned before and after school program. I certify that the information provided on this form is, to the best of my knowledge, true and accurate. I understand that scholarships will be awarded with billing statements beginning June 8, 2022 and will be awarded for the month of June. Additional scholarships may be available for the rest of the summer based on grant funding as it is received. *

By clicking this box you agree that you have answered all of the questions truthfully and that you are requesting a child care stabilization grant scholarship for your child(ren) to attend our program.

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