Application for Childcare Subsidy

This application is for help to subsidise childcare costs for eligible learners aged 20+. Eligibility for funding is dependent on household income. In order to determine if you are eligible you must complete an online bursary application via the following link https://preston.paymystudent.com/portal/?y=2020-2021

Prior to completion of this form, you must have arranged a place for your child with an Ofsted registered childcare provider. If you will be using more than one childcare provider, a separate form must be completed for each provider.

Once you have completed this form, the college will contact your childcare provider for confirmation of their fees. When your application has been assessed, you and your childcare provider will receive notification of the outcome via email.

Learner Details

Student ID Number

Name*

Forename Surname

Date of Birth*

Home Address

Street Address Address Line 2 City ZIP / Postal Code

Contact Number*

Email*

Childcare Support Required

Child 1 Name*

Date of Birth*

Start date of childcare

Childcare sessions required for the days you attend college:

Child 2 Name

Date of Birth

Start date of childcare

Childcare sessions required for the days you attend college:

Adding additional child

True

Child 3 Name

Date of Birth

Start date of childcare

Childcare sessions required for the days you attend college:

Evidence of Child/ Children

Evidence of Child Benefit, Child Tax Credit or your child’s birth certificate is required for all children you are claiming childcare subsidy for. Please attach a copy of one of the following:- • Child Benefit letter • Child Tax Credit letter • Birth Certificate. If you wish to provide any other supporting documentation please upload it here.

Drop files here or

Accepted file types: jpg, jpeg, gif, png, pdf, doc, docx, xls, xlsx, rtf, txt, csv, otf, Max. file size: 10 MB, Max. files: 100.

Childcare Provider Details

Chlildcare Provider Name*

Address*

Street Address Address Line 2 City ZIP / Postal Code

Contact Number*

Email Address*

Terms and Conditions

Please read the Childcare Subsidy Terms and Conditions carefully. If there are any points requiring clarification, please contact Student Services on 01772 225656.

Learner Declaration and Consent

If any of the information you have provided in support of this application is found to be inaccurate, or deliberately misleading, the situation will be dealt with under the Student Disciplinary Procedure and you will be required to repay any payments received.

I agree to the privacy terms and conditions and the college’s privacy policy.*

I confirm I have read and understood the Childcare Subsidy Terms and Conditions.*

I give consent for the college to contact my childcare provider as necessary.*