EARLY CHILDHOOD STUDIES Child Care and Education Assistance Application for childcare scholarship – SPRING 2017

APPLICATIONS MUST HAVE ALL REQUIRED DOCUMENTATION TO BE REVIEWED. • Register for NINE credit hours. Log in to ACES on http://alamo.edu/sac. Your home campus and enrollment must be 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 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

• 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

• 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) ECSB Room #208 – Phone No. (210) 486-0500 or (210) 486-0526 Hours of Operation: Monday thru Friday 7:30 am – 4:30 pm Note: Our computer lab has a printer available for 10 cents per page. You can buy and use your Go Print Card for $1.00 in ECSB Room 204. We have a copier in ECSB Room 215 to make copies of your documents. Each copy is 10 cents per page.

San Antonio College Early Childhood Studies

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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

Date:

Name

Male

(First, M.I. Last):

Marital status:

Single

Partnered

Married

Separated

Female

Divorced

Widowed

Address (Street)(Apt#)(City)(ZipCode)

Banner ID number

Email Address Ethnicity

Date of Birth:

College Major  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 Do you receive Lone Star Card benefits? Medicaid benefits?

Yes Yes

Phone Number

No No

Women, Infant and Children (WIC) benefits?

Yes

Do you receive any other financial assistance?

No

Yes

No

Are you on active duty or veteran in the Military?

Yes

No

Is your spouse active duty or a veteran in the Military?

Yes

No

Are you a U.S. Citizen?

Yes

No

Yes

No

If yes for other financial assistance, for example, disability. Please explain.

If you are not a U.S. citizen, please provide us a copy of your visa. Are you presently enrolled or plan to entry 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? Yes No If yes, in what field and what college? Are you employed full-time by Alamo Colleges? Yes No Number of children needing child care? Number of minor children in family? How many people live in your household?

Y

What is your yearly income?

Do you prefer an on-campus (at SAC) placement

Yes

No or an off-campus center placement

Yes

No

Off campus slots must be at a nationally accredited center. An approved list of child care centers will be provided to you to choose and call for availability when you are approved for assistance in child care tuition.

Have you applied for the Pell Grant? If yes, have you received Notification of the Pell Grant Award? Do your parent(s) support you financially?

Yes Yes Yes

CHILD(REN) INFORMATION 1. Name (First, M.I. Last): Does the child have a special diet? Toilet Ready?

Yes

No

Does the child have special needs?

Date of Birth: Yes

No If yes, please explain.

Walking? Yes

Yes

No

Male

Toilet Ready?

Yes

No

Does the child have special needs?

Date of Birth: Yes

Walking? Yes

Toilet Ready?

Yes

No

Does the child have special needs?

Age:

No If yes, please explain. Yes

No

Male

Female

No If yes, please explain.

3. Name (First, M.I. Last): Does the child have a special diet?

Female

No If yes, please explain.

2. Name (First, M.I. Last): Does the child have a special diet?

Age:

Date of Birth: Yes

No If yes, please explain.

Walking? Yes

Age:

Yes

No

Male

Female

No If yes, please explain.

San Antonio College Early Childhood Studies

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No No No

Grant Information and Student Consent Please initial that you have read, understand, and agree to the following: We offer a grant for students seeking child care assistance. It is Child Care Access Means Parents in School (CCAMPIS), which is available to all majors. 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. Summer placement is for off campus slots. Summer placement is in May. Child care slots are dependent upon availability of CCAMPIS funds. Slots are not guaranteed. All students must submit an application for child care services each Fall semester. Returning students must submit a Renewal Form each spring and summer semester with required documentation. Priority deadline for spring is November 30. If you do not receive a slot 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 services. This is necessary to keep our records current. The CCAMPIS 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 $25.00 or $35.00 a week for 16 weeks. This fee is based on my income. My cost for the entire semester is $400.00 - $560.00, depending on my income. The registration fee for the semester is $40.00 per child . You will be notified of tuition and payment due dates when you are notified regarding your acceptance. Schedule of Payment - Tuition due on the Thursday before classes begin. CCAMPIS - $25 OR $35/WEEK 1ST PAYMENT & REGISTRATION FEE

2ND PAYMENT 3RD PAYMENT SEMESTER COST TO STUDENT

$25.00/WEEK $150.00 + $40.00 = $190.00 $100.00 $150.00 $440.00

$35.00/WEEK $210.00 + $40.00 = $250.00 $140.00 $210.00 $600.00

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 award. If you do not receive a phone call or are unavailable to be 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 CCAMPIS 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

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WHAT ARE MY RESPONSIBILITIES?

Parenting Workshops Students must attend three (3) Parenting Workshops each fall and spring semesters. Workshops will be held through San Antonio College. 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.

Parent/Teacher Conference You will be required to have a parent/teacher conference with your child’s teacher before the end of the 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. If you drop below this requirement, you child care will be forfeited. No 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.

Schedule of Payment - Tuition due on the Thursday before classes begin. CCAMPIS - $25 OR $35/WEEK 1ST PAYMENT & REGISTRATION FEE

2ND PAYMENT 3RD PAYMENT SEMESTER COST TO STUDENT San Antonio College Early Childhood Studies

$25.00/WEEK $150.00 + $40.00 = $190.00 $100.00 $150.00 $440.00 4

$35.00/WEEK $210.00 + $40.00 = $250.00 $140.00 $210.00 $600.00 SPRING 2017

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)

Number of credit hours enrolled

Grade point average: Cumulative:

Student is FTIC and is just beginning their plan AND all courses in which student is currently enrolled are listed on signed degree plan (exclude one credit hour P.E. course and ESOL courses) AND no developmental courses needed OR Course history shows that student is on track – all courses taken are on the submitted and signed degree plan (exclude one hour P.E. courses) AND no developmental courses needed 35 points 13+ hours

Student is FTIC and is just beginning their plan AND All courses in which student is currently enrolled are listed on signed degree plan (exclude one credit hour P.E. course and ESOL courses) BUT developmental courses needed 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 needed 25 points 10-12 hours

Student has previous course credit that isn’t part of their current, signed degree plan (exclude one hour P.E. courses and ESOL courses)

Student does not have a current, accurate, signed degree plan

Needs Developmental courses: 15 points OR

NOTE: If you enroll for a course outside your degree plan, you must provide written justification from your advisor.

9 hours

Less than 9 hours

25 points

20 points

15 points

No previous college courses OR 3.0-4.0 GPA with no dropped courses 20 points

2.0-3.0 with no dropped courses

2.0-4.0 at least one dropped course

15 points

10 points

Not eligible for services Cumulative Below 2.0 Not eligible for services ------------------------Current GPA is ________. If below 2.0 – subtract 10 pts

Yes

No

10 points

0 points

No – new applicant OR Yes – and student parent completed all requirements (workshops; observation hours; teacher conference) 10 points Student is enrolled only in SAC classes: Yes ______

Yes – and student parent completed all requirements but work was turned in late (workshops; observation hours; teacher conference) 5 points Student’s home campus is SAC: Yes _____

Yes – but student parent did not complete all requirements (workshops; observation hours; teacher conference)

No ______ Appeal required

No _____ not eligible for services

No ______ not eligible for services

Doesn’t need Developmental courses

Student meets income criteria: Yes _____ Co-payment is $ ___________ No _____ not eligible for services Total Points:

Not eligible for services

20 points

____________

Student is Military – Active duty, veteran, spouse of active duty Continuing from previous semester

SAMPLE RUBRIC

0 points Does student receive Financial Aid or Pell Eligible? Yes _____

Is there a paid receipt included with application? Yes ______

No _______ not eligible for services Processed by:

Notes: If student is not eligible for any reason, then email a copy of Appeal Process form.

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