Family Child Care Application

Mini-Grant Application for Licensed Family Child Care Providers Participating in CACFP

Application closes April 13, 2016. Awardees will be announced in June 2016. Questions? Contact: samantha@tlfcci.org

Amount Requested from TLFCCI *

Project Name or Brief Description *

Applicant Business Name *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Contact Person *

First

Last

Phone Number *

License number *

Name of CACFP Sponsoring Agency *

I certify to the best of my knowledge and belief, information in this application is true and correct. If a grant is awarded to this business then the proceeds of that grant will not be distributed or used to benefit any business or individual supporting or engaged in unlawful activities. I understand that any materials created under this grant are public domain and may be used and/or
reproduced by T&L Foundation for Child Care Information. I understand, should I receive this grant, that I am required to provide my social security number. I understand that this is a public document and open to public inspection.

The Applicant Certifies *

I Agree

Should you prefer to upload ONE document answering all the below questions, do so here and type "see attachment" in the answer below boxes. *

Max file size: 20MB

On average how many children are in your care? *

What are the ages of children in your care? Choose all that apply. *

Give a brief history of your business and its capacity to undertake and complete the proposed project. *

Choose the TLFCCI Objective(s) your project addresses *

Overall quality of health and wellness in child care settings Enhancing nutrition and healthy eating habits in child care settings Enhancing physical activity in child care settings Engaging parents in education of health and wellness via child care provider relationships

Thoroughly describe your project. State what you intend to do and the expected results. Be sure to state 1) Who will do the work, 2) Where it will take place, 3) How it will be accomplished, and 4) When it will be done. *

Clearly state the purpose of your project and why it is needed. *

How does your project address this (or these) objectives? *

Who will benefit from your project? How many individuals do you expect to reach? (Describe specifically who will benefit: i.e. age, gender, ethnicity, children, geographic location etc.) *

How will you measure the success of your project? Think about the positive changes you are making and how they might be measured. *

Budget - Itemize your project's budget. Provide us with the project supplies and materials, unit cost and total amount for each item. Be sure to enclose detailed information about each item, provide picture or website link to item. Include provide other costs (do not include indirect costs) *

Max file size: 20MB

"Have Patience.

Mini-Grant Application for Licensed Family Child Care Providers Participating in CACFP