Continued on Reverse
2020-2021
NC Childcare Grant Application
NAME: _____________________________________________
ADDRESS: _____________________________
______________________
STATE: _______
ZIP: __________
The North Carolina General Assembly allocates funds each year to assist student-parents enrolled in state community colleges
with the financial responsibilities associated with childcare expenses. All student-parents enrolled at least half-time in a Title IV
approved program may be eligible for this assistance and are encouraged to apply. Childcare grant funds may be awarded to
students with demonstrated financial need as determined by the FAFSA and who meet other eligibility
requirements.
WCC student-parents who wish to be considered for childcare assistance should complete this application and return it to the
Financial Aid Office. Funding is limited; therefore, submission of an application does not guarantee that funds will be
awarded. PLEASE NOTE — the awarding process will not begin until funding levels for 2020-2021 have been released by the
state; for that reason, award notices typically are not issued until AFTER Fall classes begin.
INSTRUCTIONS: Complete this application using blue or black ink, attach a copy of the birth certificate for each child who
requires childcare services, sign, and return the completed package to the WCC Financial Aid Office.
GENERAL ELIGIBILITY REQUIREMENTS
2020-2021 WCC Financial Aid file must be complete
Legal parent or guardian of the child needing care
Have unmet financial need
Enrolled at least half-time (6+ credit hours) in
on-campus and/or hybrid classes as part of a Title IV
eligible program at WCC. (Full-time students may be
given priority consideration)
Legal resident of NC as determined by the NC
Residency Determination Service (RDS)
Eligible to receive financial aid at WCC as outlined in
the SAP Policy
Must not be receiving/participating in DSS, NC Pre-K,
Head Start, WAGES, etc.
Have you completed the 2020-2021 FAFSA? Yes (continue) No (stop here- you are not eligible)
Please indicate which semester(s) you will need childcare assistance:
The NC Child Care Grant is not available for the summer term.
Have you received the NC Child Care Grant at WCC in the past?
What is your current marital status?
No Yes If yes, when?
___________
Separated Divorced Widowed
Beginning with the 2020-2021 school year, you will be a:
What is your grade level?
Expected Enrollment: Fall 2020: ________ credits Spring 2021: ________ credits
CHILDREN’S INFORMATION (list all children living in the home)
Full Name Age
Child Care
Services Needed?
Enrolled in Pre-K or
Head Start?
Birth Certificate
Attached?
Yes No Yes No Yes
On File
Yes No Yes No Yes
On File
Yes No Yes No Yes
On File
Yes No Yes No Yes
On File
Yes No Yes No Yes
On File