This application is for ECE professionals working in a childcare facility. Please read through the entire application before you start.

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Personal Information: This application is for ECE professionals working in a childcare facility. Please read through the entire application before you start. Last Name Legal First Name Address City Province Postal Code Phone Number Email If you identify as Indigenous (First Nations, Métis, Inuit), please click here: Yes as a If you are fluent in French, please click here: Yes Do you reside in a rural or remote area? If you do please indicate region: What type of child care facility are you currently employed? Group Child Care Multi- Age Child Care Preschool Family Child Care In-Home Multi-Age Child Care Group Child Care (School Age) Registered License Not Required Upgrade Studies: The Workforce Development Bursary awards funds for courses of the same value as the ECE Student Bursary. Please check what you will be studying. Assistant Certificate to Basic Certificate: Basic Certificate to IT & Special Needs Diploma: Basic Certificate Upgrade to: Infant/ Toddler Certificate Special Needs Certificate Responsible Adult to: Completion of Studies: Number of classes you are enrolled in for the semester: Select the post-secondary institution you will be/ are attending: Which campus will you attending? Student ID#:

Workforce Development Supports: Additional supports are available to ECE professionals, including operators of Registered and/ or Licensed-Not- Required facilities to remove financial barriers with attending ECE educational programs. Subsidies granted in this section will be included in the overall award amount of up to $5,000. To learn more about what qualifies for the supports click here. Indicate all costs for the duration of your studies. Travel Subsidies: I am requesting mileage subsidies Origin Address Destination Address Round trip mileage Anticipated number of trips Total kilometers (Round trip mileage X Number of trips) I am requesting subsidies for additional transit costs in the amount of $ I am requesting subsidies for evening/ weekend childcare in the amount of $ I am requesting subsidies to assist with tutoring in the amount of $ I am requesting subsidies to assist with Professional Development & Conference Fees ($200 maximum) Attach back-up to demonstrate actual costs of accommodation, evening/weekend childcare, tutoring, professional development and conference entrance fees to qualify for subsidies. I am requesting Practicum Wage Subsidy please complete the next section. If you re not go straight to the Monthly Budget.

Practicum Wage Subsidy: Complete and print out this section for your employer to sign-off if you are applying for wage subsidies due to practicums. About the Facility: Name of Child Care Facility: Facility Address: Facility Phone#: Facility Email: Number of ECE Certified Employees: Number of non-ece Certified Employees: Will the training result in additional spaces? How many spaces? Will the training result in improved position and/or pay? Will the practicum result in unpaid leave of absence: Length of Practicum wks How many hours a week do you work? Hourly rate: Attach a copy of your most recent paystub. This is required to verify your hourly wage. In support of the Employee's leave of absence to complete a practicum, please complete this section. As per the requirements of the Workforce Development Bursary application I, from employee, certify that my is required to take a general leave of absence to complete ECE practicums. The leave of absence will be: Paid Unpaid Partially paid up to $ And for a period of weeks We are seeking support to subsidize an amount of $ Employer Signature Date Employer Name (please print)

Monthly Study Period Budget: ECEBC is asking for a monthly snap shot of your income and expenses, please be sure to break down costs into monthly installments. If your stated income is more than your expenses, please be sure you have included all monthly expenses and provide ECEBC with an explanation as to why you are seeking additional financial support. For more details on how to complete the form click here to be directed to Budget FAQ s MONTHLY INCOME AMOUNT $ MONTHLY EXPENSE AMOUNT $ Applicant employment income Spouse/ partner income Parental support to applicant Government income First Nation or Métis support RESP income Assets (savings, GIC, RRSP) Student Loan Other Bursaries/ Scholarships Other income not listed Rent/ Mortgage Utilities (heat, electricity, taxes) Communications Groceries Entertainment Clothing Local transportation Uninsured medical/ dental Regular Childcare Child school/ recreation fees Insurances Loans & Credit Cards Gas and parking Tuition (applicant) School Fees (applicant) Textbook (applicant) Other expenses not listed TOTAL MONTHLY INCOME TOTAL MONTHLY EXPENSE

Applicant Declaration and Consent I authorize the Early Childhood Educators of BC (ECEBC) to release my application to the Selection Committee. The Selection Committee will be comprised of ECEBC staff, early childhood educator professionals, instructors and ECEBC board members. I understand that all information provided to ECEBC on this application and accompanying documentation will be used solely for the purposes of determining my eligibility under the ECE Bursary Program and to assess my financial needs in relation to other applicants. I further understand that failing to disclose sources of income, expenses or providing false documentation in support of my application will result in my application being denied and restitution of any funds received by ECEBC. In addition, I understand that if I withdraw from a course(s), leave the program or fail a course, the 60% of the tuition paid will remain intact, however I may not qualify for the remaining funds. I have read and fully understand the ECEBC ECE Bursary Policy and fully agree to abide by the terms and conditions of the policy. Canadian Revenue Agency requires ECEBC to collect information to facilitate payment of the bursary and to generate a T4A. SIN #: Date of Birth (MM/DD/Year) Bank Name: Bank Address: Institution # Transit # Account # Click if you re a member of ECEBC Click if you would like updates about ECEBC s programs and services Applicant Signature: Date: Remember to attach a copy of your class schedule and proof of BC residency.

Appendix A- Workforce Development Supports The Workforce Development Bursary Fund also provides funding for childcare professionals to remove additional barriers that make continuing with ECE education challenging. Please include these amounts in the Monthly Study Period Budget. Subsidies granted in this section will be included in the overall award amount of up to $5,000. Consideration will be given to costs such as, but not limited to: Tutoring Transportation Evening/ weekend childcare Accommodation Conference entrance fees Professional development Students living in rural and remote areas, who would not have reasonable access to ECE training or practicum fulfilment may apply for funds to help offset the additional costs of travel and out of town accommodation. Includes transit passes for travel outside of your home community. For more information on BC s transit systems, zones and fares click here for Metro Vancouver for areas outside of Metro Vancouver click here. You may also request mileage subsidies for travel between communities. ECEBC aligns with the 2018 Canadian Revenue Agency (CRA) Automobile allowance rates of $0.55 per kilometer for travel from your residence to post-secondary institution or practicum. Accommodation Students who need to travel to another community for training or to complete a practicum may face a hardship in balancing the cost of commuting and accommodation with the goal of completing studies. Additional consideration will be given to students who require temporary accommodations to complete their studies. Childcare The Workforce Development Supports for childcare are for costs outside of the student s regular childcare requirements. The intent is to help cover childcare costs associated with attending evening classes and/or weekend program classes. Conference and Professional Development Individuals who may be at risk of losing their ECE certification due to barriers in accessing professional development may apply for funding. Approval will be assessed on a case by case basis.

Income: Applicant employment income Appendix B- Study Period Budget FAQ Please provide the average monthly income earned by the applicant only. Examples of monthly income can come from part-time or full-time jobs or self-employed avenues such as child care and independent sales representatives (e.g.: doterra, Epicure, Tupperware). Spouse/ partner income Please don t enter the annual (yearly) amounts, ECEBC requires the monthly breakdown of income. For example - If you spouse or partner makes $40,000 a year or is paying yearly spousal support of $40,000 please calculated the monthly amount received. Take the total sponsorship amount of $40,000, divide by 12 months: 40,000 12= $3,333.33. The total monthly income would be $3,333.33. Parental support to applicant Provide the amount your parents are contributing to your monthly living expenses while studying. Government income Provide the total amount you receive from the government, including employment insurance, social assistance, Canada pension plan, childcare subsidy, disability, Canada Child Tax Benefit and BC Family Bonus Program. The Ministry of Children and Family Development have expanded family eligibility for childcare subsidies. Families that have a combined income up to $111,000+ may qualify for funding. To learn more, click here. First Nation or Métis support If you know how much your monthly sponsorship will be, please enter the amount here. If you have been provided with a large payment for you to manage, please calculate your monthly allowance. For Example- Your sponsorship is for $10,000 and you expect to complete your studies within 10 months, please calculate the monthly allocation for you to use. Take the total sponsorship amount is $10,000, divide by the 10 months you ll be studying: 10,000 10 = $1,000. Your monthly income from the sponsorship would be $1,000.

RESP income If you have withdrawn a larger amount for you to manage, please calculate your monthly allowance. For Example- Your RESP withdrawal is for $5,000 and you expect to complete your studies within 10 months, please calculate the monthly allocation for you to use. Take the total sponsorship amount is $5,000, divide by the 10 months you ll be studying Calculate 10,000 10 = $208.33 Your monthly income from the RESP would be $208.00 Assets (savings, GIC, RRSP) This amount includes any savings, GIC s, RRSP s, stock or corporate pension plans that you are withdrawing from monthly. If you have withdrawn a large amount, please provide the monthly value that can be attributed to your study period. Student Loan Student loans may be provided as an annual amount. Please provide ECEBC with the monthly breakdown of the total amount borrowed. Take the total amount borrowed $10,000, divide by the months you ll be studying to get the monthly value. Other Bursaries/ Scholarships Calculate how much your monthly installment is from other bursary or scholarships (don t include how much you hope to receive from ECEBC). See the calculation used to determine the monthly allocation under the Student Loan for instructions on how to find the monthly amount. Other income not listed If you receive any other sources of income not currently listed, please detail the source and monthly amount received.

Expenses: Rent/ Mortgage Please enter the amount paid monthly. If you have a variable mortgage rate, please state the average amount you have paid over the previous 12-month period. To calculate the average, collect the last 12 payments made and divide the total by 12 to determine the average monthly mortgage payment. Utilities These costs include your electricity, gas, municipal taxes, strata fees, laundry, waste services. Communications These costs include your cable, telephone (Landline and/or Cell) and internet access. Groceries Please provide the amount you pay for food and items regularly purchased at a grocery store, i.e. pet food, detergents and small household items. Entertainment Include how much is spent every month on eating out, coffee, movies, subscriptions (e.g.: Nextflix, Spotify), memberships (i.e. gym, yoga & sport). Clothing Estimate how much is spent monthly on individual or family clothing needs. Local Transportation Provide how much it costs to use public transit for the whole family as an individual as applicable. Uninsured Medical and Dental Please indicate how much you pay out-of-pocket for medications and/or dental work. Estimate how much can be attributed to a monthly cost for dental. If you have a recurring prescription every few months, please calculate how much can be attributed to 1 month. Example: You or a family member must fulfil a prescription every 3 month at a cost of $50, divide the cost by 3. Your monthly medication cost would be $16.67

Childcare Provide how much you spend on child care while studying and/or at work. Child school/ recreation fees A lot of time this will not be known, use your best judgement on how much you pay for your child s school activities, such as field trips, every year and divide that estimated amount by 10 (Sept-June) to calculate the monthly amount. If your child participates in any paid activities, please include those monthly fees in this category. Insurances These include private health & dental, car, house, life, pet, renters insurance plans. Loans & Credit Cards Do not provide the total amount owed, please only provide how much you pay every month. These costs include car payments, lines of credit, loans and monthly credit card bills or minimum payments. Gas and parking Please provide an average on how much is spent in gas and parking every month. Tuition (applicant) Please provide ECEBC with the monthly breakdown of the total amount to attend school for the semester. For example: Your semester is 4 months in length and your costs are $1,432, please calculate the monthly allocation for you to use. Courses cost $1,432, divide by the 4 months of the semester 1,432 4 = $358.00. Your monthly tuition expense would be $358.00 School Fees (applicant) This includes ancillary fees charged to students such as registration fees, student association fees, medical/ dental insurance fees (provided through the institution and are group insurance plans), printing and any other fees charged to students by the school or student association. Textbooks Divide the total cost of the books by the 4 months of the semester to determine your monthly expense. Other expenses not listed Includes savings, RRSP s, RESP contributions for children, investments, non-child membership fees.