HomeMy Public PortalAboutBrewster Childcare Pre-ApplicationCHILDCARE FUNDING ASSISTANCE FOR
BREWSTER RESIDENTS
Bailey Boyd Associates, in conjunction with the Town of Brewster, are applying for childcare
funding assistance for low-moderate income Brewster residents through a Community
Development Block Grant. The program would provide subsidies of up to $6,000 per child paid
directly to a childcare provider when enrolled in a licensed program, in an effort to assist families
in seeking or maintaining employment. If you or someone you know could benefit from this
program please complete this form and return it to the address below. If funding is secured, all
those who have submitted their information will be provided with an application to participate.
Name: __________________________________________ Phone: ___________________________________
Address: ____________________________________________________________________________________
_____________________________________________________________________________________
On the table below please:
- Circle the number of persons in your household
- Circle your total household income in the last 12 months that is equal or less than the amount
indicated below.
Household
Size
2
persons
3
persons
4
persons
5
persons
6
persons
7
persons
8
persons
Very low
income
$36,600 $41,200 $45,750 $49,450 $53,100 $56,750 $60,400
Low
income
$58,600 $65,900 $73,200 $79,100 $84,950 $90,800 $96,650
-Is anyone in the house disabled? Yes _____ No _____
-How many of your children would be eligible for this program? ____________
-Would this program assist you in securing or maintaining employment? Yes _____ No ____
Please return to:
Bailey Boyd Associates
P.O. Box 65, N Truro, MA 02652
508-430-4499x5
cbergen@baileyboyd.com