2025 ITCN CCDF Early Educator Workforce Stipend Application

2025 ITCN CCDF Early Educator Workforce Stipend Application
The ITCN CCDF Program is committed to strengthening and stabilizing the early childhood workforce. ITCN CCDF is offering stipends to eligible early childhood educators to recognize their essential role in the development and care of young children.

This initiative supports efforts to stabilize and retain a skilled child care workforce by providing recognition to those dedicated to the field. It strengthens the quality of care for children by reducing staff turnover and alleviating economic stress among educators. Additionally, it helps build a stronger child care system that promotes stable, high-quality environments for children and families.

Eligibility Criteria:
Applicants must meet the following requirements to apply:
- Be employed at a child care program currently serving ITCN CCDF-enrolled children.
- Employment must be continuous and verifiable.
- Eligible Provider Types include:
  - Licensed Child Care Providers
  - Family Home Providers
  - Group Home Providers
  - In-Home Providers
  - Tribal Centers
  - Before & After School Programs
Employment must be continuous and verifiable.

Application Instructions:
1. Complete the full stipend application.
2. Submit a 2025-signed W-9 Form with your application.

If you have any questions or need assistance completing your application, please contact Ashleigh Baker at (775) 355-0600 ext. 139 or email abaker@itcn.org.
- Important Information
  - Applications will be accepted on a first-come, first-served basis.
  - Stipends are subject to funding availability and program eligibility.
  - Incomplete or missing applications will not be considered.
  - Final approvals are at the discretion of the ITCN CCDF Program.
If your application is submitted, and is incomplete or missing required information, it will be denied.

APPLICANT INFORMATION
Applicant Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Mailing Address listed on W-9*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Position Title*
Employment Status*
Employment Hire Date*

MonthDayYear
Date

EMPLOYER INFORMATION
Business Name of Employer*
First & Last Name of Owner/Director*
Type of Provider *
Employer Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Employer Email*
example@example.com
Employer Phone Number*
Please enter a valid phone number.

W9 Upload
W-9 Form Requirements
To be accepted, your W-9 form must:

Be signed and dated in 2025
Include a legible and complete mailing address
Be clear and easy to read (no blurry or faded scans)
Applications with an incomplete or incorrect W-9 form will not be processed.
File Upload*

Cancelof

Rights and Responsibilities
I hereby certify that I have been employed in my current center and current position for at least 90 days.
I understand that by accepting this stipend, it may be considered taxable income and may have potential tax implications if I choose to apply.
I,First Name* Last Name*, certify that all information I have provided is true, accurate, and complete to the best of my knowledge. I understand that any falsification or misrepresentation of documents may result in the cancellation or denial of my stipend. If a stipend has already been awarded, I may be required to repay those funds, and I understand that fraudulent information will be reported.
Signature*

Clear
Today's Date*

MonthDayYear
Date
Should be Empty:

2025 ITCN CCDF Early Educator Workforce Stipend Application

APPLICANT INFORMATION

EMPLOYER INFORMATION

W9 Upload

Rights and Responsibilities