Childcare Assistance Grant

CHILDCARE ASSISTANCE GRANT

Applications are reviewed on a first-come, first-served basis throughout the academic year, contingent on available funding.
Section 1: Applicant Information
Full Name:*

First NameLast Name
ctcLink ID:*
Phone Number:*
Email: *
We will communicate with you through email
Mailing Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Section 2: Academic Information
Program of Study:*
Enrollment status:*

10+ credits5-10 credits5 or fewer credits
Section 3: Financial Information
Have you submitted a FAFSA or WASFA for the 2025-2026 academic year?*

YesNo (Ineligible to apply)
Student Aid Index (SAI) from FAFSA/WASFA:*
Please provide a brief statement explaining your current circumstances and why you are requesting childcare assistance:*
Section 4: Childcare Information
Do you have out-of-pocket childcare expenses from a licensed childcare provider?*

YesNo (Ineligible to apply)
Estimated monthly out-of-pocket childcare expenses:*
Amount you are requesting:*
You are required to upload a receipt showing these expenses OR a letter from your childcare provider stating your expected out-of-pocket costs per month.
Which document are you submitting:*

Childcare invoicesLetter from licensed childcare provider stating expected costs
Upload Documentation:*

Cancelof
Number of dependent children receiving care:*
Childcare Provider Name:*
Childcare Provider License Number:*
Section 5: Acknowledgements and Authorizations
Authorization to Release Information: I authorize Grays Harbor College to release information to the Grays Harbor College Foundation, including details regarding my financial aid status, enrollment status, and any other necessary details needed to evaluate my application for this grant.*

AgreeDisagree
Thank You Letter: If awarded, I agree to write a thank-you letter to my grant funders. Grant awards will not be released to Grays Harbor College for disbursement through my financial aid until the thank-you letter has been received. Failure to submit the letter by the deadline will result in automatic denial of the award.*

AgreeDisagree
Section 5: Signature and Submission
By signing my name below, I confirm that the information provided in this application is accurate to the best of my knowledge. I understand that submitting false or incomplete information may result in denial or forfeiture of the grant and other funding opportunities from the Foundation. I also acknowledge that grant funds will be disbursed through the financial aid office and may impact eligibility for other forms of aid, and that I may receive this grant only once per academic year.
Signature

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Next Steps

Once submitted, applications will be reviewed in the order they are received. Award decisions will be based on financial need, including your Student Aid Index (SAI) and any remaining unmet need. You will receive an email notification regarding the status of your application within two weeks of submission.
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CHILDCARE ASSISTANCE GRANT

Section 1: Applicant Information

Section 2: Academic Information

Section 3: Financial Information

Section 4: Childcare Information

Section 5: Acknowledgements and Authorizations

Section 5: Signature and Submission