Transcription of Quality First Scholarships Program
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Quality First Scholarships Program
Quality First Scholarships Program Family Application for Fiscal Year 2019 (July 1, 2018 - June 30, 2019) Scholarships are awarded to Quality First (QF) child care sites to distribute to eligible families based on family eligibility criteria formed by First Things First . To receive a scholarship , families must complete this application, attach the required documentation, and provide it to a QF site currently participating in the Scholarships Program . The scholarship may not cover all charges; review co-pay amounts with your participant before enrollment (if applicable). To clarify your situation contact: or call 1-866-973-0012. Only two (2) Scholarships are permitted per family household (one scholarship per child) Name(s) of Applying Child(ren) 0-5: First Last Date of Birth (mm/dd/yyyy) Documented Special Need IEP IFSP 504 IEP IFSP 504 Parent/Guardian Name(s): First Last Relationship to Applying Child(ren) Additional Household Member Name(s): First Last Relationship to Applying Child(ren) Street Address (child must be an AZ resident) City Zip Code Mailing Address (if different from above) City Zip Code Email Address Phone Number Cell Y/N 2018 Federal Poverty Levels (FPL) supplied by the Department of Health and Human Services Family Size 2 3 4 5 6 7 8* 200% of FPL $32.
Quality First Scholarships Program . Family Application for Fiscal Year 201 9 (July 1, 2018 - June 30, 2019 ) Scholarships are awarded to Quality First (QF) …
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