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2013-2014 Miami Dade College Child Care Scholarship FINAL WEB


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2013-2014
Child Care Scholarship Application


This form is for students with dependents attending a certified child care facility. The award is restricted to one child per student.

Please read carefully and complete the following steps:

Complete a Free application for Federal Student Aid (FAFSA) for the academic year.

  • Must Complete a MDC Child Care Scholarship application.

  • Submit four (4) consecutive weeks of your child care original receipts. The four weeks must begin after the first day of the semester.

  • Demonstrate financial need.

  • Have a legal dependent in a child care facility under the age of 10.

 To be considered for the Child Care Scholarship, the following criteria must be met:

  • Enrolled in at least six (6) credits per semester.

  • Maintained a 2.0 GPA. 


SCHOLARSHIP IS RESTRICTED TO ONE CHILD PER STUDENT
MAXIMUM AWARD IS $1,000 PER STUDENT


* *    *
Must contain 1 letter and 8 numbers.
* *

Please explain any unusual circumstances:
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CHILD CARE PROVIDER CERTIFICATION

THE CHILD CARE PROVIDER MUST COMPLETE THE CERTIFICATION BEFORE YOU MAY SUBMIT THIS APPLICATION
* *
* * * *
        

I certify that ________________________________________Pays child care in the amount of $_________________ per week for the following

child:
___________________________________________________________________________________________________________________


For the following weeks__________________________________________________________________________


By signing this form you are certifying that all information provided on this form is complete and correct, to the best of your knowledge. If you purposely give false or misleading information on this application, you may be required to repay any funds received.


Student's Signature:______________________________________________________________Date:_______________________________

Child Care Signature:______________________________________________________________Date:_______________________________