Program Application

Before completing the following Child Care Assistance Program Application, please log in to myGCC, select "Student Information System" (SIS), and verify that your address and contact information are correct. This will ensure faster processing.

STUDENT INFORMATION

HOUSEHOLD INFORMATION

If yes, please provide a copy of your determination letter via e-mail to childcare@germanna.edu

* Please enter how many children you are seeking child care for by age category.

CHILD CARE PROVIDER SELECTION

Through local and federal grant funds, Germanna Community College facilitates access to offsite child care providers. Germanna does not offer on-campus child care. Germanna Community College is not responsible for child care services rendered by providers or lack thereof, nor does Germanna endorse any providers. Parents are responsible for researching child care providers on their own prior to selecting. Vendors that are currently in partnership with Germanna are listed below. (Only licensed and accredited locations can be utilized.)

PARTICIPANT AGREEMENT

Please indicate your agreement with the following statements:

SUPPORTING DOCUMENTS

Germanna requires the following supporting documents be submitted along with this application:

  • Child care Subsidy Determination Letter (if applicable)

Please send digital or scanned copies of these documents in PDF format via e-mail to childcare@germanna.edu. In the subject line, please include your Full Name and Germanna Student ID Number.

ELECTRONIC SIGNATURE

Typing your name below signifies that you are completing this form using an electronic signature. Submission of this digital application certifies that statements made on this application form are complete and true, to the best of your knowledge. You will be responsible for reporting changes to your financial status, child care status, and academic status to Child care Assistance Program team members immediately and to repay any award amount(s) you are no longer eligible to receive. You also agree to receive required disclosures or other communications related to this transaction electronically.

To continue with the electronic signature process, please enter your full name and click the ‘Submit’ button to save your information and submit your application and signature.

Sign above

If you prefer to opt out of the electronic signature, there may be delays in processing your application. Your application cannot be processed until you print, sign, date and submit your application to Germanna via e-mail at childcare@germanna.edu.

Child care funding assistance is contingent upon the program budget and grant funds received. Funding is limited and requests will be reviewed on a first-come, first-served basis. Please sign and submit your application as soon as possible.

If you need further assistance, please e-mail our Child Care Assistance Program team at childcare@germanna.edu.

Image CAPTCHA
Enter the characters shown in the image.

Make a difference in the lives of students.

Keep up-to-date with our newsletter.