ANOKA COUNTY CHILD CARE ASSISTANCE
BASIC SLIDING FEE
POSTSECONDARY TRAINING REQUEST PACKET
TRAINING REQUEST
I hereby request child care assistance while I participate in my training program. I understand the training program I am participating in must meet
certain criteria (see page 2 & 3) in order to be recommended. I also understand that I have certain responsibilities to maintain while enrolled in my
training program in order to continue receiving child care assistance.
Name
Name of School
Name of Program
Start Date
Signature
Number of Credits
Graduation Date
Date
Below is for County use only
□ Approved
□ Not Approved/Why
□ Packet Incomplete (comments)
Counselor Signature
Date
CCA FTR-13 9/2015
1
CRITERIA YOUR TRAINING PROGRAM MUST MEET
1.
The training must lead to a specific full time occupation.
2.
There must be a strong local job market in the field for which you are requesting training.
3.
The training program must be completed no longer than the time necessary to complete the credit requirements for an associate or baccalaureate degree as
determined by the educational institution.
4.
You must verify that you are eligible for financial aid throughout the training. (You are not eligible for financial aid if you have a defaulted student loan.)
YOUR RESPONSIBILITIES WHILE IN SCHOOL
1.
Submit proof of registration for your next quarter/semester classes
2.
Submit fee statement, financial aid award letter, class schedule, and grades to your CCA worker as requested.
3.
The student must be making satisfactory progress and remain in good academic standing in the education/training program as determined by the educational
institution for each quarter/semester.
4.
Submit your class schedule within ten days of receipt of it.
5.
If you wish to change training programs and continue to receive CCA, a new training packet must be completed.
6.
If you are working while going to school fulltime and need child care for work, you must work an average of 10 hours per week. If you are working while
going to school part time and need child care for work, you must work an average of 20 hours per week.
GETTING A JOB
If you need child care to look for work at completion of your training program, you must request child care to job search from your Child Care Assistance (CCA)
worker. Your worker will explain the rules for CCA job search. CCA can pay for up to 240 hours in a calendar year while you job search, with a minimum of 20
hours per week required. CCA job search will be paid while you participate in job search activities at the Minnesota Workforce Center, while you locate, contact, and
interview with potential employers, and while you prepare for interviews. Activities we will not approve include looking through the want ads at your home. If you
have not found employment at the conclusion of the 240 hours of job search, your CCA will be made temporarily ineligible or suspended. No child care will be
authorized during this time.
2
OTHER ELIGIBILITY CRITERIA
1.
You must live in Anoka County.
2.
You must be within our annual gross income guidelines for your family size.
3.
We will pay for a maximum of 120 hours every two weeks for child care while you are in training and/or employment. Contact your worker to find out how
this is calculated.
4.
You may have a bi-weekly copayment fee based on your household size and annual gross income. If your provider waives the co-payment fee or agrees to a
payment plan or a third party pays the co-payment and you provide documented proof from the provider before the closing date, your case can remain open. If
for any reason you fail to pay this bi-weekly fee, your CCA may be terminated.
5.
You will receive a certain number of hours of CCA based on the number of credits you are enrolled in, when you have class, hours between classes, and for
study. Contact your worker to find out the number of hours you will be approved for.
DIRECTIONS FOR COMPLETION OF TRAINING REQUEST PACKET
1.
Fill in all required information. Complete research and submit all attachments requested.
2.
You complete the top half of the ‘school’ form (page 10). Put in your name, the name of the school, sign, and date the form. Then give this form to the school
representative (i.e. Department Head or School Advisor) within the program you are attending.
The school representative should then complete the lower portion of this form and return it to you so that you may submit it with the remainder of your
application.
3.
Submit entire package and attachments to Child Care Assistance. You will be notified if your request has been recommended to receive child care funding.
POST-SECONDARY TRAINING REQUEST PACKET MAY BE DENIED OR RETURNED TO YOU IF IT IS NOT COMPLETELY
FILLED OUT AND ALL REQUIRED ATTACHMENTS/DOCUMENTATION INCLUDED.
3
INFORMATION ABOUT YOU
□ Yes
□ No
1.
Have you attended college in the past?
2.
Do you have unpaid student loans from previous education?
□ Yes
If yes, Amount you still owe: $_________________________
If yes, check the correct box:
I am...
□ Current on payments
□ Behind on payments, but not in default
□ Loan deferment from lender
□ Loan is in default
4
□ No
LABOR MARKET INFORMATION
Get answers to the questions below from labor market websites listed below. Please use a least two sources for information needed.
1.
2.
3.
4.
When was the data gathered?
According to labor market information, is this occupation in demand?
How fast is the occupation expected to grow within the next 5 years?
What are the entry level wages for this occupation?
Website
MN Dept of Employment & Economic
Development (DEED)
O*NET OnLine
ISEEK
MN Salary Survey
www.mn.gov/deed
www.onetonline.org
www.ISEEK.org
www.minnesotajobs.com
Date of Data
In Demand
Occupation
Rate of Growth
Entry Level
Wages
5
SCHOOL AND CAREER RESEARCH SUMMARY
Based on the research you have done, answer the following questions.
1.
What are the most common qualifications (skills, education, experience) employers are looking for in this occupation?
2.
What did you learn about job opportunities and the labor market in this field?
3.
Where are most of the jobs located?
4.
What makes this occupation and training program the right choice for you.
5.
The average entry level wages in this occupation is $
per hour.
6
PLANNING FOR SCHOOL
1.
Rate your present skills and circumstances (0-10) in the following areas using this scale.
Strong/Positive = 10
Okay/Average = 5
Weak/Negative = 0
Meeting deadlines
Your children’s behavior and health
Memory and organization
Your health
Managing your emotions
Relationships with significant adults
Speaking up with questions/concerns
Financial situation
2.
What changes will you be making in your life so that you will succeed in school/work?
3.
Transportation:
4.
A)
How will you get to school?
B)
What is your back up plan for transportation?
Child Care:
□ Yes □ No
A)
Have you found a provider who will work with your schedule?
B)
Do you have a back-up provider in case the person/center listed above is not available to care for your child (ren)?
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If yes, Name of Provider:
□ Yes
□ No
DOCUMENTATION THAT MUST BE SUBMITTED
You must attach the following to this packet.
□1
□ 2*
□ 3*
A program guide from the school listing the classes needed to complete the program. Get this from the admissions counselor at the school.
An MCIS (MN Career Information System) printout describing the occupation: job duties, employment outlook, starting salary, etc. You
may also provide this information by making a copy of the appropriate section of the Minnesota Career Focus staff at the Resource Center on
second floor of the Human Services Building will help you get this information.
Job leads printed out from the Minnesota’s Job Bank (www.minnesotaworks.net). Staff at the Resource Center on second floor will help you
learn how to access these job leads on the computers, if you don’t already know how to do this.
□4
Job ads from area newspapers for entry level positions in your field of training (cut the ads out and tape them to a separate sheet of paper).
□5
Transcripts from all colleges you have attended in the past.
□6
Copy of your financial aid award letter.
□7
Copy of your most recent class schedule
□8
If you attended last semester, Copy of your grades.
*Items 2 and 3 can be found at Anoka County Workforce Center, 1201 89th Avenue, 2nd Floor, Blaine.
POST-SECONDARY TRAINING REQUEST PACKET MAY BE DENIED OR RETURNED TO YOU IF IT IS NOT
COMPLETELY FILLED OUT AND ALL REQUIRED ATTACHMENTS/DOCUMENTATION INCLUDED.
8
ANOKA COUNTY CHILD CARE ASSISTANCE
ANOKA COUNTY HUMAN SERVICES DIVISION
1201-89TH AVENUE NE, SUITE 400
BLAINE, MN 55434-3370
(763) 717-7711
I,
(Student Name)
, give permission to_________________________________________________________
(Name of school)
to release the following information to Anoka County Child Care Assistance, Anoka County Economic Assistance and Employment Services.
Participant/Student Signature
Date
TO BE COMPLETED BY SCHOOL REPRESENTATIVE (Department Head or School Advisor)
Student's Program/Major
Has the Student been accepted into the Program?
□ Yes
_□ No
Average wage at placement for last year's graduates
Name & Address of School
Phone Number of Representative
(Print) Name of School Representative
Title
School Representative Signature (Department Head or School Advisor)
Date of Signature
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