Childcare Subsidy Application

A complete application includes the following:

Submission of the online application (below).
Completion and submission of the Childcare Daycare Provider Form (pdf).

Childcare Subsidy Application

Childcare Subsidy Guidelines: (1) the student must be the parent and/or legal guardian of the child(ren), (2) the child(ren) must live with the parent requesting the childcare subsidy, (3) the student must be enrolled in a minimum of 7 credits at WSU Health Sciences Campus (Spokane or Yakima). If the student's enrollment drops below 7 credits, the student loses eligibility, and (4) the student must use a WA State licensed childcare. Small subsidies will be disbursed on a first come, first served basis to eligible students.

Step 1 of 3

Date
MM slash DD slash YYYY
Student ID Number
Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
WSU Email
Please enter your WSU email
Marital Status (Optional)
Ethnicity (Optional)
Student Type
Program of Study
Anticipated Graduation Date
MM slash DD slash YYYY

1 Child's Name
First Last
Age
Name of Daycare
Phone number of Daycare*
2 Child's Name
First Last
Age
Name of Daycare
Phone number of Daycare
3 Child's Name
First Last
Age
Name of Daycare
Phone number of Daycare

Please explain why you are applying for the childcare subsidy.*
Date*
MM slash DD slash YYYY
Student Name*
First Last
By entering the date and my name, I confirm that this information is correct to the best of my knowledge. I authorize the release of information from any and all agencies.