Skip to content Home About Fast Facts Mission Statement Part-time Instructional Opportunities Urban Program Educator Appreciation Awards Academics Undergraduate Early Childhood Education Elementary Education Graduate M.A. in Teaching: Elementary Education M.A. in Teaching: Secondary Education Content Areas Program Structure Program Requirements Faculty MTTC/OPI M.A. in Teaching, Learning and Educational Studies Certificate Program in Early Childhood Special Education Certificate Program in Teacher Development Advising News 2023 News 2022 news 2021 News 2020 News Research and Grants Urban Teacher Residency Program Application Information Special Education Residency Model Resident Teacher Highlights District Partners Resources Staff News Contact Us Scholarships Student Organizations Directory Early Childhood Education Elementary Education Educational Foundations Secondary Education Contact Us CAPE Program Application Semester/Session Applying For: (required) Fall Spring Summer I Summer II Year (required) First Name (required) Last Name (required) Phone Number (required) Address (required) City (required) Zipcode (required) Email (required) WIN (required) Your nine-digit 51福利社 Identification Number. Have you been award a Pell grant for 2023-2024? (required) Yes No Parent Information Year started college: (required) Expected graduation date: (required) Degree (required) Undergraduate Graduate Transfer Student? (required) Yes No Gender (required) Male Female Marital Status (required) Single Married Financial Aid Classification (required) Dependent Independent Ethnicity (required) - Select -American IndianAsian AmericanBlack/African AmericanHispanic/LatinoNative Hawaiian/PacificIslanderWhiteMulti-RacialOther Child 1 Child Full Name (required) Birth date (required) Child Age (required) Infant Toddler Preschool School age Full or Part Time? (required) Full-time Part-time Is your child currently attending a child care center? (required) Yes No Name of child care center (required) Address of child care center (required) Child 2 (optional) Child Full Name Birth date Child Age Infant Toddler Preschool School age Full or Part Time? Full-time Part-time Is your child currently attending a child care center? Yes No Name of child care center (required) Address of child care center (required) If available, choose preferred center: (required) KinderCare Learning Village New Genesis Other Other: (required) Financial Aid Estimator Report or Pell Grant Documentation Upload Please upload a copy of your Financial Aid Estimator Report or Pell Grant Documentation.One file only.2 MB limit.Allowed types: gif, jpg, jpeg, png, txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods, xml. Certify (required) I understand that the CAPE tuition rate is based on student enrollment status, Pell Grant eligibility and additional commitments involved in the CAPE program through the 51福利社 College of Education and Human Development. I understand this is only an application for the CAPE program and reduced child care rates as part of the CCAMPIS grant and that completing this form does not mean that I am accepted into the program or eligible for reduced child care rates. I understand that I will be officially notified when and if I am accepted and I agree to pay the regular applicable child care tuition rates until that time. I understand that if I am Pell grant eligible, student enrollment eligible and there are open CAPE grant spaces for my child(ren) at partner centers, I will be notified of acceptance and will begin to receive the CAPE grant rate at that time, however, if at any time during the semester/session I become non-enrolled at 51福利社, my rates will revert to the regular applicable child care tuition rate for the following semester/session. I also understand that failure to complete any one semester/session under the CAPE Grant Childcare Tuition Program may disqualify me from the CAPE grant rates and CAPE program for the following semester/session. I understand Submit Leave this field blank
