WITCCA Scholarship Application

Complete and submit the form below to apply for a WITCCA educational scholarship.

Throughout this form, the term “Provider” is used interchangeably for both home child care providers and group program staff.

Application Process

STEP 1: Complete and submit this form no later than the end of the business on May 28, 2021. You may also complete a paper application form.

Click here to open a PDF version of this form. Scan and email your completed PDF form to Diana Zorn at diana@supportingfamiliestogether.org, or mail it to SFTA, 700 Rayovac Drive Suite 6, Madison, WI 53711

Contact Diana Zorn to have a paper form mailed to you.

STEP 2: Scan and send or copy and mail copies of invoices for training, conference, or course for payment by the end of the business day on June 25th, 2021.

STEP 3: Provider will be notified of results within 2 weeks of receiving the application paperwork.

Eligibility Requirements

Provider must be currently providing care for children.
Provider must be an enrolled member of at least one of Wisconsin’s First Nations
At least 50% of the children enrolled (at the time of the application) must be members of at least one of Wisconsin’s First Nations.
Provider must enroll in coursework, training, or conference and submit an invoice for payment prior to the end of the business day on June 25, 2021.
Training, coursework, or conference must be relevant to your current work. A copy of the description of the course or training or a flyer detailing the conference trainings will be required to determine relevance.

Scholarship Application

Your name*
First Last
Your phone*
Your email
First Nation*
Child Care Program Information
Name of child care program*
Address of child care program*
Street Address Address Line 2 City State ZIP Code
Name of program owner or director
First Last
Child care program phone*
Child care program email
Total number of children enrolled*
Number of First Nations children enrolled*
Application Information
Title of training, course, or conference you would like to attend with this scholarship*
Website link to event information (webpage, online flyer, etc.) If you do not have a link, you can attach a file below.
Attach event information
Accepted file types: jpg, gif, png, pdf, doc, docx, Max. file size: 16 MB.
Cost of training, course, or conference*
Amount requested*
Letter of Interest: In 300-500 words, please describe what coursework you are interested in completing and how it will relate to your current position. Also, describe how you will use the information learned in your work with young children and share the information with your colleagues and families.*
Consent
Invoice*
I understand that I am responsible for sending an invoice or other payment request for the educational opportunity specified above to Supporting Families Together Association by June 25, 2021.
Course completion*
I understand that I am responsible for completing this educational opportunity or may be responsible for repaying Supporting Families Together Association for the full amount paid.
First Nations*
I verify that I am a member of the First Nation I listed above and at least 50% of enrolled children at my child care program are Tribal children.
Signature*
I confirm that my typed name and date below act as an electronic signature on this application.
Name*
First Last
Date*
MM slash DD slash YYYY

WITCCA Scholarship Application

Application Process

Eligibility Requirements

Scholarship Application

Child Care Program Information

Application Information

Consent