• World of Wonders Community Access Scholarship Application Form

  • About the Program
    The WOW Community Access Scholarship Program provides a limited number of income-based tuition scholarships for designated full-time enrollment opportunities.

    Scholarships are based on gross household income and family size:

    40% scholarship for qualifying households between 201% and 250% FPL
    30% scholarship for qualifying households between 251% and 300% FPL
    20% scholarship for qualifying households between 301% and 350% FPL
    Families who may qualify for Publicly Funded Child Care, Child Care Choice, Head Start, or another public program may be required to apply for available public assistance before receiving a WOW scholarship.

    Completing this application does not guarantee a scholarship or enrollment space. All information will be kept confidential and used only to determine eligibility and administer the program.

     

    All families must start at World of Wonders within 1 month of scholarship acceptance

    Prior to filling out this application you must have completed a tour with our center. 

  • Requested start date at WOW*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Have you ever toured, or attended our program*

  • Type of Application

  • Please select one*

  • Current families applying for the waitlist understand that a scholarship may not be immediately available. Current-family awards are released as qualifying full-time private-pay enrollment is added to WOW.

  • Parent or Guardian Information

    Primary Parent or Guardian
  • Format: (000) 000-0000.

  • Second Parent or Guardian, if applicable

  • Does this person live in the household?
  • Format: (000) 000-0000.

  • Child and Program Information (child 1)

    Complete this section for each child for whom a scholarship is requested
  • Date of Birth*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Requested program*

  • Child and Program Information (Child 2)

    Complete this section for each child for whom a scholarship is requested
  • Date of Birth
     - -
    2 digit month, 2 digit day, 4 digit year
  • Requested program

  • Child and Program Information Child 3

    Complete this section for each child for whom a scholarship is requested
  • Date of Birth
     - -
    2 digit month, 2 digit day, 4 digit year
  • Requested program
  • Do you have more than 3 children

  • Section 4: Public Child Care Assistance

    Public assistance generally provides more support than a WOW scholarship. This section helps WOW determine whether another child care assistance program may be available to your family.
  • Is any child in your household current receiving: *
    Rows

  • Previous Applications

  • Have you applied for PFCC or Child Care Choice within the past 12 months?*
  • Date of application or decision:
     - -
    2 digit month, 2 digit day, 4 digit year

  • Scholarship Household

  • For this application, include:

    • The child applying for care
    • The child’s parent or legal guardian living in the home
    • That parent or guardian’s spouse
    • The child’s other parent if that parent lives in the home
    • Other dependent children living in the household
    • Do not include unrelated roommates or relatives who live at the address but are not financially responsible for the applying child.

  • Employment Income (Adult 1)

    Complete one section for each employed adult, included in the scholarship household. Please input any information that applies to your financial situation. Skip questions that do not apply to your financial situation.
  • Employment start date:
     - -
    2 digit month, 2 digit day, 4 digit year
  • Pay frequency
  • Does this income regularly include overtime, tips, commissions, or bonuses?
  • What type of documentation will you be providing?
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  • Employment Income (Adult 2)

    Complete one section for each employed adult, included in the scholarship household. Please input any information that applies to your financial situation. Skip questions that do not apply to your financial situation.

  • Please skip this section if there is no second adult in your household

  • Employment start date:
     - -
    2 digit month, 2 digit day, 4 digit year
  • Pay frequency
  • Does this income regularly include overtime, tips, commissions, or bonuses?
  • What type of documentation will you be providing?
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  • Self-Employment Income

  • Does any adult in the scholarship household receive self-employment, contract, gig-work, rental, or business income?*
  • Date self-employment began:
     - -
    2 digit month, 2 digit day, 4 digit year
  • Documentation provided:
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  • Unearned or other income

    Enter the gross monthly amount received by any scholarship household member.
  • Enter the gross monthly amount received by any scholarship household member.
    Rows

  • No-Income Household Members

  • Is any adult household member currently reporting no earned or unearned income?

  • Zero Income Statement

    This form must be completed if any adult household member is currently reporting no earned or unearned income. Please complete all sections. The information provided will be kept confidential and used only to determine eligibility for the WOW Community Access Scholarship Program.

  • Please skip to the next section if this section does not apply to you

  • I certify that the person above is not receiving income from any of the following sources:

    • Employment, wages, salary, tips, commissions, bonuses, or paid leave
    • Self-employment, contract work, cash work, or business income
    • Unemployment compensation
    • Workers’ compensation
    • Social Security retirement, disability, or survivor benefits
    • Pension or retirement income
    • Child support or spousal support
    • Rental income
    • Regular financial contributions from a person outside my household
    • Other recurring income
  • Do you expect to begin receiving income within the next 60 days?

  • Applicant Certification
    I certify that the information provided on this form is complete and accurate to the best of my knowledge. I understand that WOW may request additional documentation or clarification to complete its review. With my written permission, WOW may contact a person or organization identified on this form to verify the information provided.

    I understand that intentionally providing false or incomplete information may result in denial or termination of a Community Access Scholarship. I agree to notify WOW if I begin receiving income or if my household circumstances materially change during the application process.

  • Permission to verify information

  • I authorize World of Wonders Child Care & Learning Center to contact the employers, agencies, or other income sources identified in this application when additional verification is reasonably necessary.

    WOW will use this authorization only to verify information related to my Community Access Scholarship application.

  • Applicant Certification

    Please check off next to each statement certifying that you understand and agree to each statement
  • Type a question*
  • Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Should be Empty: