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SchoolAgeGrant@MontgomeryCountyMD.gov

Early Care and Education - School-Aged Child Care During Distance Learning

Recognizing that the COVID-19 pandemic is causing an unprecedented financial hardship for many Montgomery County residents, This special appropriation will make it possible for school-age child care providers to open licensed child care programs in public school buildings to support working parents.

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Applicant: General Information

My child(ren) is/are enrolled in Distance Learning in Montgomery County Public School (MCPS)

Before you continue with the application - review the income categories below. There are activities to be completed prior to this application.

The application will require the following types of information and/or documentation

  • Household Gross Income before taxes
  • Information about your Family
  • Provider Information
  • Child(ren) School
  • Working Parents Assistance and/or State Childcare Scholarship Case Information

Does your child meet the criteria for enrollment in the State Child Care Scholarship Program (CSSP) or County Working Parents Assistance Programs (WPA)?

Which income category in the table below do you fit in?

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What was your household Gross Income before taxes for the last 30 days?

Head of household status - Single (No Partner)

Applicant: Head of Household Information

Full Street Address

    Ethnicity (for statistical reporting only)

    Gender

    Date of Birth

    What was your income for the last 30 days?

    Spouse/Partner Information

    Please provide the name, date of birth, gender, and relationship for each of the other members of your household. You can click to go to the next page and leave the fields blank after you have identified each of your household members.

    Spouse/Partner - Gender

    Child(ren) Information

    Please provide the name, date of birth, gender, and relationship for each of the other members of your household. You can click to go to the next page and leave the fields blank after you have identified each of your household members.

    CHILD 1 - Date of Birth

    CHILD 1 - Gender


    CHILD 2 - Date of Birth

    CHILD 2 - Gender


    CHILD 3 - Date of Birth

    CHILD 3 - Gender


    CHILD 4 - Date of Birth

    Child 4 - Gender


    CHILD 5 - Date of Birth

    Child 5 - Gender

    Provider Information

    Provide the following information for each Child:

    Child Name:

    Provider Name:

    Provider Address:

    Child Start Date at the Provider:

    Provider 1/Child 1 - Information

    Provider 2/Child 2 - Information

    Provider 3/Child 3 - Information

    Provider 4/Child 4 - Information

    Provider 5/Child 5 - Information

    Supporting Documentation

    Upload File(s) - Proof of Income - Household Income Verification - Last 30 days (If unemployed - upload last paystub or unemployment information) - If paid in cash write a self-declaration of earned income and upload.

    Upload File(s) - Proof of relationship - Child(ren) Birth Certificate(s)

    Upload File(s) - Proof of Residency - Lease or Rental Agreement or Utility Bill

    Upload File(s) - State Childcare Scholarship Voucher - Please upload for all school age child(ren)

    IMPORTANT: To protect your personal information, please submit an email with a scanned copy of your personal identification (Driver License or Passport) to schoolagegrant@montgomerycountymd.gov.This is REQUIRED to complete your application. We cannot process your information without this emailed document.

    Applicant Consent, Confirmation, and Signature

    I verify that the information I have provided on this application, and all information submitted in support of this application is true, correct and complete. I understand that I can be determined ineligible for child care subsidy for making false or incorrect statements or failing to report changes.I understand that I have the right to appeal if I am not satisfied with the action taken on my application by the COVID-19 Shool-Age Subsidy Program (CSSP).

    My request must be filed within ten (10) working days from the date of the notice of decision.I hereby give The DHHS permission to give my licensed provider information regarding the status of my application.I hereby give DHHS permission to contact meby telephone, text or email.

    I swear (or affirm) that all information on this application is true, correct and complete to the best of my ability, knowledge and belief.

    Sign Here

    Choose how to sign

    Application Number

    You will be provided with a Application Number upon submission.

    NOTE: After you click on Submit - keep the receipt numbers for your records. You will be given the option of downloading a PDF version of your application - please download as you cannot access this application after submittal.