Aspire Childcare Scholarship Application Form
*This is a partial scholarship — it helps with the cost of childcare, not the full cost. After the application deadline, award amounts are set based on how many families apply, each family's need, and the funds available
Parent Name
*
First Name
Last Name
Parent's Email
*
example@example.com
Child's Name
*
First Name
Last Name
Child's Date of Birth
*
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Have you previously received a childcare scholarship from Aspire?
*
Yes
No
I understand that these scholarships are available only to students who will be in infant or toddler childcare (under 3), and that my child must be registered or on the waitlist by the scholarship application deadline to be considered. Funds awarded will be applied directly to the selected childcare center or provider.
*
Yes
What is your working situation? (Parent A)
*
Work full time
Work part time
Currently not working
What is your working situation? (Parent B)
Work full time
Work part time
Currently not working
N/A
What is your gross monthly household income? (All adults living in your home). Please provide a tax return to verify income and dependents or other proof of income.
*
Please Upload Page 1 of your Tax Form 1040
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Do you have other children? If so, please enter in the number of other children and their ages.
children
Which Infant/Toddler Childcare Provider Do you Wish to Use?
Wings Early Childhood Center
Tiff's Little Cubs Childcare
Seeds of Learning
Teresa Mael
What type of childcare do you need?
*
Part time
Full Time (4-5 days per week)
What is your living situation?
*
Married
Living with Partner
Single
Live with other family members
Have you attended any group classes at Aspire? If so, which ones?
*
classes
Why do you need this scholarship? What will happen if you do not receive any funding towards childcare?
Have you applied for or are you currently receiving Colorado Child Care Assistance Program (CCCAP) ?
*
Yes
No
I don't know
I understand that this scholarship is contingent upon my child maintaining a minimum attendance rate of 80% and adherence to the guidelines set forth by the Child Care Provider I choose.
Yes
I understand that this scholarship is contingent upon my participation in regular individual or group education through Aspire. This can be achieved through weekly digital videos watched at home, monthly attendance at a group class such as Coffee & Kiddos or Mommy & Me, or completion of the 8-week Positive Parenting Class.
Yes
I understand that this scholarship is contingent upon my participation in an Aspire-related service project for 4 hours. This could be at one of our events, such as the Supermom 5K in May, an organized service event such as a cleanup day, or individual service projects arranged by Aspire.
Yes
I understand that this is a partial scholarship, and that the award amount will be determined after the application deadline based on the number of eligible applicants, demonstrated financial need, and available funds.
Yes
I affirm that the information on this form, the essay, and any other required materials is accurate and complete.
*
Yes
The deadline to submit this application and any other required materials is Thursday, November 15, 2026. Late or incomplete applications will not be considered. Award decisions will be communicated by December 1, 2026
Questions about this application? Contact Nicole at director@aspirepagosa.org or 970-264-5963 ext. 100
Parent Signature
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Back
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Scholarship Post-Survey
If you've been through the program before, we'd love to hear how it went. These questions help us understand the real difference the scholarship made for your family — not just the finances, but how it touched your daily life. Thank you for applying again, and for sharing with us. If you have not received this scholarship previously, you do not need to fill out this portion, just scroll to the bottom and Submit.
Thriving Physically
The scholarship helped me work or attend school so I could provide for my family.
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
How did having reliable childcare change your family's daily routine?
Thriving Emotionally
I had peace of mind knowing my child was safe and well cared for.
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
How has your confidence as a parent changed since receiving the scholarship?
Thriving Socially
I feel connected to a supportive community through Aspire.
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Which Aspire education option(s) did you take advantage of?
Brightcourse at-home classes
Coffee & Kiddos or Mommy & Me
Positive Parenting Program
What's one thing you learned through Aspire's classes that you've actually used at home?
Overall Impact
Finish this sentence: Because of the scholarship, my family was able to ________.
May we share your words in our newsletter, website, or fundraising materials?
Yes, with my first name only
Yes, anonymously
No
Submit
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