Families

Workplace Child Care Start-Up Grant

Application Form

Program Description

The purpose of the Workplace Child Care Start-Up Grant (WCSG) is to support workplaces in developing new, on-site child care services for children of their employees through a one-time start-up grant. Ongoing operating expenses would be offset by employer contributions and/or parent fees.

WCSG funding may be used to help offset the wages of staff directly involved in the operation and/or administration of child care services, to purchase equipment required for those services, or to support renovations required to ensure dedicated spaces meet regulatory and/or licensing requirements. Marketing and promotional activities are not eligible.

The amount of grant funding received depends on the business plan submitted with a WCSG application form. Eligible applicants opening child care or child-minding services will receive a one-time grant of $5K per full-time equivalent space as per the capacity indicated in their business plan, subject to the availability of government funding.

To be eligible, you must submit a draft business plan outline, which at a minimum should include the items listed under the Declarations Section below.

Eligibility Criteria

Applicant(s) must operate a registered business or not-for-profit located and legally operating in Manitoba
Applicant(s) may also be eligible for the Child Care Centre Development Tax Credit
Employers with existing child care programs are not eligible
A successful business plan that will provide a new child care service

Applicant Information

Organization's Legal Name

Organization's Operating Name

Organization's Primary Business

E-Mail

Phone Number

Contact Person Name

Contact Person Title

Mailing Address

Address (number, street or P.O. Box)

Town / City

Province

Postal Code

Physical Address

Is your physical address same as the above mailing address? Yes No

Address (number, street or P.O. Box)

Town / City

Province

Postal Code

Business Plan

Please attach a business plan in .jpg/.jpeg format below. If you need to submit your business plan in a different format, please email it to CCGF@gov.mb.ca

Document #1

Document #2

Document #3

Declarations

Please check the corresponding boxes to confirm that you declare your agreement with the following statements and conditions Any WCSG funds received by the applicant organization will be used to directly support the provision of new child care services in Manitoba

I have attached to this form or will submit by email a business plan that shows The new, flexible child care service that will be provided (including project activities)

How the new service meets community need
(priority will be given to projects that address key service gaps, ex: non-standard hours of service, extended hour care, other flexible arrangements, etc.)

The average weekly hours of child care services that will be provided

The number of new child care spaces created

A draft budget on how grant money will be spent

A list of project activities with timelines

I have read, understand and agree to all of the information related to the WCSG and understand that receiving the full amount of the grants depends on successfully obtaining a licence and meeting program, licensing, regulatory, and reporting requirements

Service Delivery

Please check the following box to confirm that you understand This application is to support the operation of a licensed child care facility (centre or home), which will meet all of the applicable requirements laid out in the Child Care Regulation (Manitoba Regulation 62/86)

Disclosure and Authorization

Disclaimer

Manitoba acknowledges that personal information respecting organizations and individuals will be collected, used, disclosed and protected by Manitoba and its officers and employees in accordance with the provisions of The Freedom of Information and Protection of Privacy Act (FIPPA) and The Personal Health Information Act (PHIA) in the course of carrying out its obligation under the act.

The Public Body will take all reasonable steps to protect the privacy of individuals/organization and the protection of personal information from risks such as unauthorized collection, use or disclosure and will comply with the requirements under the act/s.

If you have any questions about the collection, use or disclosure of personal information, contact Sharon Field, Access and Privacy Coordinator, Manitoba Families, at 204‐945‐2013.

Declaration and Consent

I declare that the information given on this application and any documents attached is correct and complete and fully discloses the project activities. I understand that:

I must immediately notify Manitoba Families in writing of any changes to the information in this application including updating funding sources, as appropriate by emailing CCGF@gov.mb.ca to advise of any changes; and
information that is false or misleading in this application may result in disqualification and may lead to Manitoba Families reclaiming these funds.

Consent to Indirect Collection and Disclosure of Personal Information

I understand that Manitoba Families may need to obtain additional information about my organization, including financial circumstances, income, assets, resources and credit history for the following purposes:

to determine and verify eligibility for financial support;
for research, planning and reporting purposes; and
to administer and evaluate WCSG initiatives.

I give my consent to Manitoba Families providing information from this application to other government departments and agencies as may be necessary for WCSG program administration, evaluation and verification purposes.

I give my consent for Manitoba Families to provide Manitoba Chambers of Commerce and The Winnipeg Chamber of Commerce with my name, phone number, address, email address, and community of residence for the purposes of providing the grant recipient with business mentoring information, tools, support and updates, and to issue the grant funding.

I acknowledge having read the above declarations and being in agreement with their content

Date

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