EARLY CHILDHOOD STUDIES Child Care and Education Assistance Application for childcare scholarship SPRING 2018 APPLICATIONS MUST HAVE ALL REQUIRED DOCUMENTATION FOR REVIEW. Register for NINE credit hours. Your home campus and enrollment must be at San Antonio College. Your current major will be verified. The more hours you are enrolled in, the better your chance to receive child care assistance. 1. Register If you receive financial aid Print and attach Financial Aid History for current term. To print your Financial Aid Award History, choose Student tab on ACES. Click Web Services -> Financial Aid -> Award ->Award History. If you do not receive Financial Aid Pay your college tuition. You can pay your tuition with one the following forms of payment: credit/debit card, cash, check or installment payment. Print and attach a receipt to show payment. AND Attach proof of one of the following: Pell Grant, SEOG, Lone Star card, WIC or Medicaid. Student must be eligible to receive State needs-based funds. 2. Pay & Proof of Financial Aid Print and attach Concise Student Schedule, choose Student tab on ACES. Click Web Services -> Student - >Registration->Concise Student Schedule. Under term, select appropriate term. 3. Concise Student Schedule Print and attach your Account Summary by term, go to Student tab on ACES. Click Web Services - >Financial Aid ->Award->- >Account Summary by Term. 4. Account Summary Attach a copy of your most recent household income tax return. Student must submit a copy of last year s income tax return. If you do not have an individual income tax return, then submit your household income tax return form. If you are not a U.S. citizen, you must provide a copy of your visa. 5. Income Tax Return Attach a degree plan with and you have completed; courses you are currently enrolled; and courses you plan to take in future semesters. To obtain your current degree plan, please see an academic advisor. Your degree plan must have your advisor s signature, current date and phone number. 6. Degree Plan* *If you are an Associate of Applied Science major or seeking a certificate in an AAS program, see a department advisor. If you are an Associate of Arts major, an Associate of Science major or an Associate in Arts in Teaching major, be advised by a faculty member that represents your area of concentration. If you are Associate in Arts in Liberal Arts, you must see a counselor at the counseling center. Return application in person to: San Antonio College Early Childhood Studies Building (ECSB) 2 ND Floor 210 W. Ashby San Antonio, TX 78212 Phone. (210) 486-0500 or (210) 486-0526 Hours of Operation for child care: Monday thru Friday 7:30 am 4:30 pm Child Care slots are not guaranteed. Slots are dependent upon availability of grant funds. San Antonio College Early Childhood Studies 1 SPRING 2018
CHILD CARE AND EDUCATION ASSISTANCE APPLICATION FOR REDUCED TUITION All questions contained in this application are strictly confidential for grant qualifications and will become part of your child care record. Please print clearly and fill out entire application. COLLEGE STUDENT INFORMATION Name (First, M.I. Last): Date: Male Female Date of Birth: Marital status: Single Partnered Married Separated Divorced Widowed Address (Street)(Apt#)(City)(ZipCode) Alamo Aces Email Address: Banner ID number College Major Ethnicity Hispanic White Black Asian American Indian/Alaskan Native International Other Cell phone number Other phone number Whom may we call in case of an emergency? Name Relationship Phone Number Do you receive Lone Star Card benefits? Women, Infant and Children (WIC) benefits? Medicaid benefits? Do you receive any other financial assistance? If yes for other financial assistance, for example, disability. Please explain. Are you on active duty or veteran in the Military? Is your spouse active duty or a veteran in the Military? Are you a U.S. Citizen? If you are not a U.S. citizen, please provide us a copy of your visa. Are you presently enrolled or plan to enter in ESL (English as a Second Language) classes or have attended high school ESL classes in the past year? Do you have a college degree? If yes, in what field and what college? Are you employed full-time by Alamo Colleges? Number of children needing child care? Number of minor children in family? Y How many people live in your household? What is your yearly income? Do you prefer an on-campus (at SAC) placement or if grant funds available an off-campus center placement Off campus slots must be at a nationally accredited center. An approved list of centers will be provided to you. You will call centers for availability when you are approved for Child Care assistance. Have you applied for the Pell Grant/Financial Aid? If yes, have you received tification of the Pell Grant Award/Financial Aid? Do your parent(s) support you financially? How did you find out about the SAC Early Childhood Center? CHILD(REN) INFORMATION 1. Name (First, M.I. Last): Date of Birth: Age: Does the child have a special diet? If yes, please explain. Toilet Ready? Walking? Male Female Does the child have special needs or take special medications? If yes, please explain. 2. Name (First, M.I. Last): Date of Birth: Age: Does the child have a special diet? If yes, please explain. Toilet Ready? Walking? Male Female Does the child have special needs or take special medications? If yes, please explain. 3. Name (First, M.I. Last): Date of Birth: Age: Does the child have a special diet? If yes, please explain. Toilet Ready? Walking? Male Female Does the child have special needs or take special medications? If yes, please explain. San Antonio College Early Childhood Studies 2 SPRING 2018
Grant Information and Student Consent Please initial that you have read, understand, and agree to the following: Slots fill up quickly so please do not wait until the last minute to turn in your completed application. Classroom placement begins in July for the Fall semester and the first week in December for the Spring semester. If funds are available for summer, placement will be for off campus slots. Summer placement begins in May. Child Care slots are not guaranteed. Slots are dependent upon availability of grant funds. All students must submit an application for child care each Fall semester. Returning students must submit a Renewal Form each spring and summer semester with required documentation. Priority deadline for Spring is vember 29. If you did not receive a slot last semester and are on the waiting list, you must submit a current Degree Plan, a Concise Student Schedule, Financial Aid Award History, and Account Summary for semester you are seeking. This is necessary to keep our records current. The child care grant is offered to low income students of San Antonio College. If a student leaves SAC, even to transfer to another college, child care slots become available to qualified students on the waiting list. I understand this is not free child care, but it is substantially reduced. I am responsible for paying $15.00 or $20.00 a week for 16 weeks. This fee is based on my income. My cost for the entire semester is $240.00 - $320.00. The registration fee for the semester is $40.00 per child. There is an option to pay for entire semester or make three installment payments. You will be notified of tuition payments and due dates when you are notified regarding your acceptance. Updated proof of immunization record and a physical exam within the past six months will be requested when approved for child care assistance. You will be notified by phone if you have been chosen to receive the grant. If you do not receive a phone call or are unavailable through phone, it will be your responsibility to call the Department of Early Childhood Studies (210) 486-0500 to find out your child care status. I understand that if I do not meet all the program requirements by the given due dates, I will NOT receive child care funds. I will pay the child care center my balance due. I further agree to contact the Early Childhood Center (210) 486-0500 if my status as a student changes. Receipt of the above information completes the application process. Incomplete applications will not be placed on the waitlist for placement and funding. Student signature: Date: San Antonio College Early Childhood Studies 3 SPRING 2018
WHAT ARE MY RESPONSIBILITIES? Parenting Workshops Students must attend three (3) Parenting Workshops each fall and spring semesters. Students attending in summer will be required to complete one (1) workshop. Failure to attend will result in forfeiture of slot for at least one semester. Volunteers Hours Students are required to complete four (4) volunteer hours each fall and spring semeter in their child s classroom. Students attending in summer will be required to complete one (1) volunteer hour. Parent/Teacher Conference You will be required to have a parent/teacher conference with your child s teacher before the end of each semester. The teacher will give you a signed paper indicating that the conference has been completed. Enrollment You are required to maintain enrollment of (9) credit hours each fall and spring semsters. Students attending summer classes are required to maintain enrollment of (6) credit hours. If you drop below this requirement, your child care will be forfeited. exceptions will be made. GPA Student must be in good academic standing at the conclusion of the current semester (minimum overall 2.0 or higher G.P.A.). Midterm grades will be checked. Your GPA will be monitored and your child care status will be monitored for the following semester. Your GPA must meet the 2.0 minimum to be eligible for child care assistance. San Antonio College Early Childhood Studies 4 SPRING 2018
SAMPLE RUBRIC THIS IS SAMPLE RUBRIC IN WHICH YOUR APPLICATION IS SCORED. THE HIGHER YOUR SCORE THE BETTER YOUR CHANCE FOR A SCHOLARSHIP FOR CHILDCARE. Progress on degree plan (includes prerequisite developmental courses) Single parent status: Number of children: Student is FTIC and is just beginning their plan AND all courses in which student is currently enrolled are listed on one credit hour P.E. course and ESOL courses) AND no developmental courses OR Course history shows that student is on track all courses taken are on the submitted and one hour P.E. courses) AND no developmental courses 35 points Single parent 3 or more children Student is FTIC and is just beginning their plan AND All courses in which student is currently enrolled are listed on one credit hour P.E. course and ESOL courses) BUT developmental courses OR Course history shows that student is on track all courses taken are on the submitted and signed degree plan (exclude one credit hour P.E. course) BUT developmental courses 25 points 2 children 5 points Student has previous course credit that isn t part of their current, signed degree plan (exclude one hour P.E. courses and ESOL courses) Needs Developmental courses: OR Doesn t need Developmental courses 1 child 1 point Student does not have a current, accurate, signed degree plan t eligible for NOTE: If you enroll for a course outside your degree plan, you must provide written justification from your advisor. Number of credit hours enrolled: 13+ hours 25 points 10-12 hours 9 hours Less than 9 hours t eligible for Grade point average: Cumulative GPA is: Cumulative GPA Below 2.0 - t eligible for previous college courses OR 3.0-4.0 GPA with no dropped courses 2.0-3.0 with no dropped courses 2.0-4.0 at least one dropped course Current GPA is: Current GPA Below 2.0 - t eligible for Student is Military Active duty, veteran, spouse of active duty Compliance with CCAMPIS Requirements: new applicant OR and student parent completed required workshops; observation hours; teacher conference and survey) 0 points and student parent completed all requirements but work was turned in late (workshops; observation hours; teacher conference and survey) but student parent did not complete all requirements (workshops; observation hrs; teacher conference and survey) Student meets income criteria: Co-payment is: $ Student is enrolled only in SAC classes: t eligible or 5 points Student s home campus is SAC: 0 points Does student receive Financial Aid or Pell Eligible? Is there a paid receipt included with application? San Antonio College Early Childhood Studies 5 SPRING 2018