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Harvard Works Because We Do
Harvard Union of
Clerical and Technical Workers
Home
Our Contract
Programs & Services
Copay Reimbursement Program
Job Reclassification
Workplace Problem Solving
Work Security Program for Layoffs
School-to-Work Program
Other HUCTW Services
Funds & Loans
Childcare Fund
Academic Enrichment Fund
Education Fund
TAP Tax Fund
Transportation Fund
Housing Loan Programs
Student Loan Refinancing
About Us
Who We Are
History and Principles
Frequently Asked Questions (FAQ)
Harvard-HUCTW Joint Committees
HUCTW Financial Statements
News and Events
Posters and Graphics
Contact Us
Childcare Fund Application
You must be affiliated with the Harvard Union of Clerical and Technical Workers (HUCTW) to apply for this award.
Personal Information
First name:
*
Last name:
*
Harvard ID number (first 8 digits):
*
Daytime Phone:
Your Harvard school and department:
Preferred email address:
Home address:
Street address
Street address line 2
City
State
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Northern Mariana Islands
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Utah
U.S. Virgin Islands
Vermont
Virginia
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West Virginia
Wisconsin
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Armed Forces Americas
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Zip code
Household and Income Details
Number of children in your household:
*
Number of adults in your household
*
Name of spouse/partner (leave blank if not applicable):
Spouse's employer:
Is your spouse/partner employed by Harvard?
Yes
No
If yes, will they apply to another childcare fund?
Yes
No
If yes, which one?
Adjusted gross household income from line 11 of your last filed tax return (2023 for most people):
*
Estimated adjusted gross household income for the 2025 calendar year:
*
If you think your 2025 income will be less than your reported 2023 income from your tax form, please explain why below. Also, please share any notes or additional information that would help us better understand your income or expenses if necessary.
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.
Child's first and last name:
Date of birth:
MM slash DD slash YYYY
Child's first and last name:
Date of birth:
MM slash DD slash YYYY
Child's first and last name:
Date of birth:
MM slash DD slash YYYY
Child's first and last name:
Date of birth:
MM slash DD slash YYYY
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 the coming year. 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.
Provider's name:
Arrangement confirmed:
Yes
No
Provider's name:
Arrangement confirmed:
Yes
No
Provider's name:
Arrangement confirmed:
Yes
No
Provider's name:
Arrangement confirmed:
Yes
No
Childcare Costs:
Please list your anticipated monthly childcare costs (for all children from all providers
combined
) for the
2025 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.
January
*
February
March
April
May
June
July
August
September
October
November
December
*
VERY IMPORTANT: Please Read and Check Off the Following:
This section is required.
*
I certify that everything in this application is accurate, to the best of my knowledge.
I will provide HUCTW with the first page of my most recent 1040 form from my federal tax return. (If you and your partner/spouse report your taxes separately, please include her/his/their 1040 form as well, and write your name at the top so we know to include it with your application.) I understand that my application is not considered complete without this tax form(s).
I understand that if my actual expenses turn out to be significantly less than what I estimated on this application, my award may be lowered.
You can use our secure server to upload your tax form (we will send you a link to the server after you submit this application),
or
you can email or mail the tax form(s) to us using either of the following :
Email:
huctw.childcare@huctw.org
Mail:
HUCTW Childcare Fellowship, 131 Mt Auburn St. Cambridge, MA 02138
Funds & Loans
Childcare Fund
Academic Enrichment Fund
Education Fund
TAP Tax Fund
Transportation Fund
Housing Loan Programs
Student Loan Refinancing
HUCTW CHILDCARE FUND FORMS
2025 Childcare Fund Application
2024 Verification Form (PDF)
Childcare FSA Claim Form (PDF)