Contents
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Activity Information
Each section identifies the parent/caretaker's activities and the activity hours which constitute the reason(s) for needing subsidized child care. Complete the following fields for each activity.
Activity Type
Select the value for the Activity Type by using the down arrow (
) next to the field.
Child Care
Commuting
Counseling
Education
Employment
Recreation
Training
Flexible Schedule
Select either Yes or No for the selection by using the radio button for this field (
). This denotes whether the schedule is fixed or flexible for the activity period.
Hours per Week
If the answer to the Flexible Schedule selection is Yes, enter the number of hours per week for the activity in this field.
Name of Organization
Enter the name of the employer, school or training facility in this field.
Address, City, State, Zip Code
Enter the address associated with the entered organization in these fields.
Employer Contribution
This question denotes whether the family is receiving any supplemental funds for child care, "Does your employer give you money toward child care?
If the activity type is Employment activity, this answer is required. Select either Yes or No for the selection by using the radio button for this field ().
Activity Hours
If the schedule is not flexible, enter the hours for each day as appropriate. The format is HH:MM AM or PM. See the sample entries in the picture below.