Childcare Support Foundation

Childcare Financial Support Application

Complete all sections and upload the required documents. Applications for children aged 5 or older cannot be accepted.

Child information

Full name *

Date of birth *

GenderSelectMaleFemaleOther

ConditionTypical developmentMedical conditionDisabilityOther

Type

Address *

District

Phone

Email

Father information

Full name *

ID number

Phone

Email

Marital statusSingleMarriedCohabitingDivorcedWidowed

Employment statusEmployedSelf-employedUnemployedStudent / attending a courseRetired

Employer

Monthly income (ANG)

This parent receives a government allowance.

Mother information

Full name *

ID number

Phone

Email

Marital statusSingleMarriedCohabitingDivorcedWidowed

Employment statusEmployedSelf-employedUnemployedStudent / attending a courseRetired

Employer

Monthly income (ANG)

This parent receives a government allowance.

Guardian information

Is the legal guardian a third person?NoYes

Full name

Relationship

ID number

Phone

Employment statusEmployedSelf-employedUnemployedStudent / attending a courseRetired

Monthly income (ANG)

This guardian receives a government allowance.

Childcare center preference

First choice *Select a centerBright Beginnings ChildcareHappy Kids Care CenterLittle Stars DaycareSunshine Childcare Center

Second choiceSelect a centerBright Beginnings ChildcareHappy Kids Care CenterLittle Stars DaycareSunshine Childcare Center

Preferred start date

Required schedule

Documents

Document typeBirth certificateID documentProof of incomeMedical reportOther

Choose files

I declare that the information provided is true and correct.

Full name / signature *

Submit application