Childcare Fellowship Application

  • Personal Information

  • Household and Income Details

  • Childcare Arrangement & Cost Information

  • Children:
    Please list each child for whom you are applying for assistance and their dates of birth. If your child is not yet born, please write "Child not born yet" in the name field and put the child's anticipated birth date in the date field.
  • Childcare Providers:
    Please list all childcare providers you plan to use and their license numbers (or social security numbers, for nannies or babystitters). If your child is not born yet and/or you have not yet chosen a childcare provider, please write "Provider not yet chosen" under "Provider's Name." Please note that you will be required to provide the license number or social security number of the childcare provider when submitting for reimbursement for your childcare expenses in 2017. Even if you don't know who your childcare provider will be, you must provide an estimate of your monthly expenses in order to receive an award. It's fine to take an educated guess. Just keep in mind that your award may be reduced if your actual costs are significantly less than your estimated costs.
  • Childcare Costs:
    Please list your anticipated monthly childcare costs (for all children from all providers combined) for the 2018 calendar year. If you don't yet know your childcare plans, please estimate your costs for each month. We will make an award based on the estimated costs, but if your actual costs turn out to be significantly lower than your estimated costs we may need to lower your award. You will not receive an award if you don't fill out this section.
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  • VERY IMPORTANT: Please Read and Check-off the Following:


  • You can email, fax, or mail the tax form(s) to us using any of the following :
    Email: huctw.childcare@huctw.org
    Fax: 617-661-9617
    Mail: HUCTW Childcare Fellowship 15 Mt Auburn St. Cambridge, MA 02138