Section 1: Grant Information (Form CCWS-B)
Section 2: Child Care Workforce Stabilization Employee Roster (Form CCWS-E)
Section 3: Acknowledgement of Terms, Certifications, and Signature
By submitting this Application Amendment and/or accepting funds distributed pursuant to this
Application Amendment, the undersigned certifies and agrees:
- To be bound by any and all terms set forth in the original Application and to use any and all funds distributed pursuant
to this Application in the manner set forth below;
- The information included in this Application is true and correct;
- The person whose signature is below is the applicant/owner/licensee or the authorized designee with the authority to sign the Application;
- The person whose signature is below has reviewed and agrees to follow the grant guidance as it is written on today’s date.
A copy of your completed application will be emailed to the email address provided above for your records. Please be sure to check your inbox and (if necessary) spam folder for this important email.