EARLY CHILDHOOD ASSISTANCE PROGRAMME (ECAP) APPLICATION 2020 – 2021 The completed application (with all the supporting documents) must be delivered directly to the reception desk at the Government Administration Building OR scanned and emailed directly to [email protected]Please do not send any completed ECAP applications via an early childhood centre. Please use pages 9 – 14 as a guide when completing this application form. If you have any questions, please email [email protected] or call 244-5735. When completing your application please note the following: My child turned 3 years old before September 1, 2020. I have attached my child’s birth certificate. My child is Caymanian. I have provided the proof of this as detailed on page 9. I have attached proof of income, as detailed on page 10, OR I am unemployed, and have provided the documentation as detailed on pages 10-11. My child has special educational needs/disability. If applicable, I have provided reports regarding those special needs. I have attached a copy of my Government issued identification (e.g. driver’s license, voter’s identification card, or passport picture page) I have completed the entire application form. Each parent has signed in at least 2 places on the form. How did you hear about the ECAP Fund? Radio Cinema advertisement Facebook or other social media Newspaper Word of mouth My child’s early childhood centre Government Dept. (e.g. DCFS, NAU, DES) Other: ______________________ Date received: ECCE Unit Signature and Comments:
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EARLY CHILDHOOD ASSISTANCE PROGRAMME (ECAP) APPLICATION
2020 – 2021 The completed application (with all the supporting documents) must be delivered directly to the reception desk at the Government Administration Building OR scanned and emailed directly to [email protected]
Please do not send any completed ECAP applications via an early childhood centre.
Please use pages 9 – 14 as a guide when completing this application form. If you have any questions,
When completing your application please note the following:
My child turned 3 years old before September 1, 2020. I have attached my child’s birth
certificate.
My child is Caymanian. I have provided the proof of this as detailed on page 9.
I have attached proof of income, as detailed on page 10, OR
I am unemployed, and have provided the documentation as detailed on pages 10-11.
My child has special educational needs/disability. If applicable, I have provided reports
regarding those special needs.
I have attached a copy of my Government issued identification (e.g. driver’s license, voter’s
identification card, or passport picture page)
I have completed the entire application form.
Each parent has signed in at least 2 places on the form.
How did you hear about the ECAP Fund?
Radio Cinema advertisement Facebook or other social media
Newspaper Word of mouth My child’s early childhood centre
Government Dept. (e.g. DCFS, NAU, DES) Other: ______________________
Date received: ECCE Unit Signature and Comments:
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Document to be submitted Y/N/NA Comments
Completed application form
Copy of child’s birth certificate
Child’s proof of nationality
Proof of legal guardianship (if child reside with someone other than the parent)
Proof of income: pay slips reflecting 2 most recent months OR a current job letter (pay slips or job letter should detail health & pension deductions) If funds are received from NAU, letter explaining financial support received
Proof of income (if self-employed): a bank reference which details average
balance in the account, an affidavit signed by a JP or Notary Public verifying
parent is self-employed, a copy of Trade & Business License
Proof of unemployment: termination letter (if available), and registration as a job-seeker extended
If child has special needs, copies of relevant reports
Copy of a Government issued identification for the parents e.g. driver’s license or passport picture page
How long has the father worked there? ____________
TOTAL INCOME: The child’s father must list all his sources of income such as: salary/wages, rental income (if property is owned), child maintenance, allowances/funding from agencies (e.g. DCFS/Needs Assessment Unit).
INCOME FREQUENCY (How often?) SOURCE OF INCOME
I,________________________ affirm that the above information is current and accurate.
Signed by Father: _____________________________ (Father must also sign on page 8)
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MOTHER’S INFORMATION
Please provide all the information requested below and sign at bottom of this page.
Name: _____________________________ Caymanian: Yes No
Physical street address: _________________________________________________________
Postal address (include postal code): _______________________________________________
How long has the mother worked there? ____________
TOTAL INCOME: The child’s Mother must list all her sources of income such as: salary/wages, rental income (if property is owned), child maintenance, allowances/funding from agencies (e.g. DCFS/Needs Assessment Unit).
INCOME FREQUENCY (How often?) SOURCE OF INCOME
I,________________________ affirm that the above information is current and accurate.
Signed by Mother: _____________________________ (Mother must also sign on page 8)
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GUARDIAN’S INFORMATION This page must be completed if another caregiver (other than biological parents) has legal guardianship of the child.
Please provide all the information requested below and sign.
Name: _____________________________ Caymanian: Yes No
Physical street address: _________________________________________________________
Postal address (include postal code): _______________________________________________
How long has the guardian worked there? ____________
TOTAL INCOME: The child’s Guardian must list all his/her sources of income such as: salary/wages, rental income, child maintenance, allowances/funding from agencies (e.g. DCFS/Needs Assessment Unit).
INCOME FREQUENCY (How often?) SOURCE OF INCOME
I,________________________ affirm that the above information is current and accurate.
Signed by Guardian: _____________________________ (Guardian, if applicable, must also sign on page 8)
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SPECIAL NEEDS SERVICES
This page must be completed by parents who have a child receiving special educational needs/disability
services. Please list all services being received e.g. Early Intervention Programme (EIP), which are in
relation to your child’s special needs. Please state all costs for services that are not covered by insurance
which you are required to pay for. This will assist with the means testing process (pg. 11 and 12).
Service being received Service provider Frequency
(how often)
Cost to parent
Is your child on a special diet? Yes No If yes, please explain: ____________________
___________________________________________ Average cost? __________________ _______
Does your child require special medication? ____________________________________________
Is the medication covered by insurance? ______________________________________________
What is the average cost of medication per month? ______________________________________
Please give details (including cost) of any consistent medical appointments (local or overseas) which pertain to your child’s special needs.
Medical Need Medical Centre/
Doctor’s Information
Frequency of
Appointments
Average Cost
(including travel,
accommodations) which is
incurred (not covered by
insurance or other source)
Details of Insurance
Coverage
(which assist with cost)
If necessary, on a separate sheet of paper please list details pertaining to your child’s special need which
may not have been stated above.
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Father, Mother, and Guardian, please read carefully and sign below:
- I do hereby grant permission for the Ministry of Education to process this Early Childhood
Assistance Programme (ECAP) application form based on the personal data which I have
provided. I will be sure to notify the ECCE Unit if: my contact information or circumstances
change (e.g. income, number of dependents, status); or if I would like to change my child’s
registration to a different early childhood centre.
- My signature below affirms that I understand that for my application to be processed I must
submit information, which to the best of my knowledge, is true and correct. I understand that if
I have submitted dishonest, misleading or inaccurate information, funding may be discontinued;
even if my child’s application was successful.
- I understand that if the ECCE Unit or the Oversight Committee needs additional information in
order to process my child’s application, it is my responsibility to provide all relevant information.
I therefore agree that the ECCE Unit may contact my employer and other persons or agencies to
verify pertinent information, as deemed necessary. Permission is therefore given for the
Ministry of Education or the Department of Education Services to share my information with
relevant Government agencies e.g. Workforce Opportunities & Residency Cayman (WORC), the
Needs Assessment Unit (NAU), or the Family Resource Centre (FRC).
- I am aware that willful misrepresentation of any material fact made by me in this application, or
in discussion with the ECCE Unit, or the ECAP Oversight Committee, may result in this and future
applications being refused.
- I understand that if I qualify to receive an ECAP grant for my child, funds will be paid each month
directly to the early childhood centre which my child attends. I also understand that the usual
pay period for ECAP payments is from September 1 through to June 30, and I am aware that I
must make arrangements for payment of fees during the months of July and August.
- I understand that I will be responsible to pay any fees to the early childhood centre which are
above that which is paid through the ECAP Fund.
- I understand that the ECCE Unit will monitor my child’s attendance at the early childhood centre