0000028367 00000 n 0000021891 00000 n compensation or unemployment. 0000006963 00000 n TANF, Social Security, Veteran's Benefits, periodic/lease income, boarder/roomer rent, workers If you are self-employed, a complete copy of your most recent income tax return, including all schedules. 0000019759 00000 n the definition of "homeless" 0000004336 00000 n 0000049505 00000 n 0000089267 00000 n 0000024599 00000 n sы"Mw� New Child Care Assistance Eligibility for Full-Time Students As of June 28, 2019, to the extent funds are available, a child may be eligible for child care assistance if the applicant is enrolled in a full time accredited college, university, certified trade school, full 0000006425 00000 n 0000017360 00000 n 0000037243 00000 n DHR-CMA-1973 (April 2002) CHILD CARE ASSISTANCE APPLICATION Instructions: Please read the application carefully. endstream endobj 1064 0 obj <>stream 0000008347 00000 n Fill out the following information for each child in child care. x�ܕ{LSw��ﶷJ�>��D��"BE|AA�+�AdX�L��T�(U��)��x�C�v�`�HnQg���΢0Е�KUܘӥq�ݒ�]������s'���>�ܜ��w�7� @ �J��,��6�x �i�M��h�ӵ�\��i/�������]�����GG'�#��>��µ�dkߔ��o��}�T��맱�o�Xf+Km�/��������C���y��w������JR�?o����Ӳ�#����⺛�!Y{��^SJ��`�����i�%�}��]��v*"�W}�rVS��Y���i�}k��(���{]��o�H��(>c��62G�*W��{����3Y��/1&4��� (�yD �� 0000009769 00000 n 0000019342 00000 n �a��ٗ�Û9X�� lRZ +�821� 8��h��V��8A:� Z�q���3�؂�z\*��Ȩ��*�h�����H�,a�Z$t(d�%h3�@�KQd��e�.4�Eo���ŀv1%�ssjlı��9;��� Mk�Y3�;a@���c�� ����7�#�쾷e�-������%s�������ؕ���K}�dY�m�FC�B�ނ;"y]�ڿ2���q`��5�#b��:crm�=�ée�/�8�ٷ��7�3;�&X�Z��]�OT�i�=S���Kb��� Q�N4_)�"Xiú� �~�$��hN�o9[5In^&� U�\[^���2���pքjn���ڑ�:T>ҹ}��Ȇ�K!��o�3��:��>�3����[6g��-l}~��vCG}��³F[���������׆�c�>��?ޓP�f��ս&�*M����}tk�Q��-I-�V��săE�������PqF�J�3Q�NN�P�AL�;��5�|�?Z�=�'㌘'�O ���x List any other sources of income you have, including work-study, interest, pensions, retirement, LL �i ���f � ��0�� a��"�\ƻ��%i�����:oԟ�m`xy5�4F�c@�����H32�� R���m`.c1@� x&3� You must attach proof of income for all current employment: Please fill out the following information for each job. 0000012347 00000 n 0000034775 00000 n 0000014360 00000 n 0000015572 00000 n 0000027605 00000 n 0000013950 00000 n Ȁ0 ��$���Ğt&F�� F2���0 79 0000031256 00000 n If you have more than one child care provider, please fill out the following information for each of them. 0000030020 00000 n 0000055707 00000 n IDENTIFYING INFORMATION: This form should be completed by the parent or other 0000045455 00000 n List everyone who lives in your home, including roomers, 0000038521 00000 n 0000013742 00000 n 0000050650 00000 n 0000035096 00000 n 0000046275 00000 n of "homeless" according to the McKinney-Vento Act. 0000044410 00000 n 0000012960 00000 n 0000048139 00000 n 0000024103 00000 n If you have any questions about completing this application, you can call (605) 773-4766, toll-free 1-800-227-3020, or email H���[k�0����ze�;���nN��_�����d�����!Oް ��3�(��JX($�}�m���ǀ��[������0 �p�ve] �*�8v���U. 0000049047 00000 n click here. If you need to locate a registered or licensed child care … 0000031048 00000 n 0000029182 00000 n 0000045668 00000 n 0000039336 00000 n 0000016148 00000 n 0000038078 00000 n 0000057786 00000 n 0000044202 00000 n 0000033207 00000 n Child Care Assistance Program Worker New Application Application for Child Care Assistance Redetermination CCAP 2 Rev.

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