Women’s Leadership Council

Young Mother’s Childcare Scholarship 2018-2019

Statement of Purpose

The Women’s Leadership Council of United Way is sponsoring this scholarship to encourage mothers 16 to 25 years of age to continue their post-secondary education and to help provide quality childcare for their children. This scholarship will help fund childcare needs for the recipient.

Scholarship Information

  • Recipients awarded the scholarship renewal in May will first be eligible to utilize the funds for childcare in August of 2018.
  • Recipients will receive childcare funding while attending any semester between August 1, 2018 and July 31, 2019.
  • Recipients will be eligible to reapply annually but will be eligible for no more than a total of five (5) years of scholarship support.
  • Recipients will be awarded a maximum amount of $8,000 annually, depending on the number of enrolled credit hours.

Application Timeline

April 27th Applications due to United Way

April/May Selected applicants will be interviewed and selected.

June 30th Recipients will inform United Way of the name of childcare and inform childcare to

send the invoice to

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For additional information or questions, please contact Kim Vest at or 281-210-0910.

Application Instructions

Please submit the following via email, mail, or hand-delivery to United Way byFriday, April 27, 2018 by 5:00 P.M.Email to Kim Vest at. Mail or hand-deliver to Kim Vest

at United Way, 1600 Lake Front Circle, Suite 248, The Woodlands, TX 77380.

this completed application

a recent photo

your most recent official transcript, high school diploma or GED certificate. If this is your first semester incollege, please provide a copy of your letter of acceptance.

a copy of EFC or estimated EPC, i.e. the page from FAFSA confirmation

your resume (optional)

Late applications will not be accepted.

Application Requirements

To meet the scholarship criteria, the applicant must:

Complete the attached application.

Provide two (2) letters of reference with at least one from a teacher or employer, not a relative or friend.

Be a citizen or legal resident of the United States and a resident of Montgomery County.

Have a high school diploma or equivalent.

Be between the ages of 16 to 25 (at time of initial application).

Have a financial need as indicated by the EFC or estimated EPC from FAFSA letter.

Use scholarship funds for childcare for the recipient’s children under the age of five (5).

Enroll in a minimum of six (6) credit hours during the fall/spring semesters and/or a minimum of three (3) hours during the summer session in a post-secondary program. This may be a University, College, Trade, or Technical school. Courses should lead to a degree or certification.

Maintain a minimum G.P.A. of 2.5.

Participate in a face-to-face interview process if application is selected.

Requirements Once Awarded

Recipient will:

Provide a signed Release of Information granting United Way staff permission to communicate with student’s advisor concerning academic performance.

Provide a signed Release of Information granting United Way staff permission to communicate with the childcare provider concerning the child’s enrollment and welfare.

Provide United Way staff with name of childcare and other contact information.

Attend the annual Women Who Rock luncheon. In addition, recipient may be asked to participate in opportunities, including photo opportunities, to share information about and publicize the scholarship.

Notify United Way staff of any changes in enrollment. Recipients enrolled full-time will receive full funding. Recipients enrolled part-time, will receive partial funding. If enrollment changes due to dropped or added classes, funding will be adjusted.

Enroll child in a childcare program licensed by and in good standing with the Department of Family and Protective Services. Center-based childcare is preferred. For a list of DFPS childcare centers, go to and click on Search for Childcarein the left-hand bar. Recipients are also encouraged to apply for financial aid assistance for childcare through Texas Workforce Solutions.

If childcare is not located in Montgomery County, the same criteria must be met, and childcare be approved by the Women’s Leadership Council Scholarship Committee before enrollment.

If recipient declines scholarship or fails to meet one of the requirements and is no longer receiving the scholarship, they must reapply and be between the ages of 16 and 25.

Provide United Way staff with a copy of a degree plan signed by an advisor from your post-secondary school.

We encourage you to enroll your child(ren) in a NAEYC accredited center or Texas Rising Star Center (3 or 4 Star). A quality childcare center will provide:

  1. Developmentally Appropriate Practices - includes materials, curricula, activities, and staff expectations of children’s behavior that are appropriate and support the child’s development.
  1. Structural Quality - characteristics that include staff-to-child ratio, group size, staff education and experience, and square feet of facility per child.
  1. Accreditation-programs voluntarily meet specific standards to receive endorsement from a professional agency, such as the National Association for the Education of Young Children or,

d. Licensed - a document issued by the State Department to a person, a group of people, or corporation who has met the state minimum standards for childcare, which allows them to legally operate a childcare program.

First-time Applicant  Renewal Applicant

Personal Information

Full Name:

Last First Middle

Address:

Street Address Apartment/Unit #

Date of Birth: // Current Age:

(mm /dd /yyyy)

Contact Information

Home Phone: Cell Phone:

Email:

Marital Status:

Single MarriedDivorcedLegally Separated Widowed

Ethnicity: (Please mark all that apply.)

African-AmericanAsian/Pacific Islander Caucasian Hispanic

 Native American Indian/Alaskan  Native American Other:

Family

Name of Applicant’s Children: / Children’s Date of Birth:
(One per line. Continue on the back if needed.)

Who else will be living in your home while you are in school?

Name: / Relationship to Applicant:
(One per line. Continue on the back if needed.)

Childcare Needs

Please list the information for children needing childcare. (Continue on the back if needed.)

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Name:

Age:

Gender:

Type of Care Needed:Full Time Part Time

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Please describe any known disabilities, if any.

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Name:

Age:

Gender:

Type of Care Needed: Full Time Part Time

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Please describe any known disabilities, if any.

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Name:

Age:

Gender:

Type of Care Needed: Full Time  Part Time

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Please describe any known disabilities, if any.

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Name:

Age:

Gender:

Type of Care Needed: Full Time Part Time

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Please describe any known disabilities, if any.

How do you currently pay for the care of your child(ren)? If you do not currently pay for the care of your child(ren), who currently takes care of your child(ren) and why can they no longer do so?

Financial Information

What sources of income do you have?

Are you currently working?

Do you plan to work while in school?

If yes, where?

How many hours per week?

Please attach a copy of your EFC or estimated EPC from your FAFSA.

Transportation

Do you own a car? If not, how do you plan on getting to and from school?

Education

List schools attended, and training received. Give names and dates. Identify degree or number of credits earned. (Example: Hope High School, Diploma/GED Lonoke 1999; UTSA 2000-2001, 21 credits)

High School or GED:

Trade or Technical School:

College/University:

Military/Other:

Are you currently attending school? Yes No

a. If yes, how many college-level hours have you completed?

b. If yes, what is your cumulative GPA?

Where will you be attending in Fall 2018?

Have you been accepted? YesNo

Anticipated Start Date:

Major or Certification Plan:

How many credit hours do you plan to take per semester?

Do you have a signed degree plan from your advisor? Yes (Please submit.) No

Will you be registered for at least 6 credit hours?Yes No

When do you expect to graduate?

Will you be a full-time or part-time student?

(Full-time- 12 or more credit hours per semester)

(Part-time - at least 6 credit hours per semester)

How will you pay for tuition, books, and supplies?

List and describe any extracurricular activities in which you have been involved.

List any special honors or awards you have received.

If this is your first time to apply, please complete the essay for 1st time applicants.If this is a renewal application, please complete the essay for renewal applicants.

Essay for 1st time Applicants

Please use a single page to explain your post-secondary goals, the reasons for requesting this scholarship, and how this scholarship will help you reach your goals.

Essay for Renewal Applicants

Please use a single page to explain your post-secondary goals, the reasons for requesting this scholarship renewal, and how this scholarship has helped you in the past and will continue to help you reach your goals. What challenges have you faced with your education, and is there anything you will do differently if you receive this renewal?

Childcare Center Information

Days child/children will be attending:

Anticipated total number of childcare hours per week:

Estimated cost of childcare service per week:

Other anticipated childcare aid (state, federal, other):

Name of Childcare Center (as shown on tax return):

Childcare License #:

Director:

Address (Street, City, State, Zip):

Does the childcare center participate in any of the following programs?

(Please mark all that apply.)

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Texas School Ready!

Prekindergarten Early Start Grant

Texas School Ready Certification

Texas Rising Star Certification

NAEYC Certification

Other Standards-Based Certification

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The childcare center is which of the following?

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Individual/sole proprietorCorporation

Partnership

Limited Liability Company

Other

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What is the childcare center’s Tax Classification?

D=disregarded entity C=Corporation P=Partnership Exempt Payee

Please provide TID number or EIN:

Internal Office Use ONLY:

Center verified by:

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VERIFICATION

I hereby affirm that my application for childcare assistance is accurate and correct. I understand all guidelines and requirements set forth by the selection committee. I give permission for all financial and academic information related to my application to be released to the Childcare Scholarship Review Committee.

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Printed Name of Applicant:

Signature of Applicant:

Date:

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