Semester/Session Applying For: * Fall Spring Summer I Summer II Year * First Name * Last Name * Phone Number * Address * City * Zipcode * Email * WIN * Your nine-digit WMU Identification Number. Have you been award a Pell grant for 2023-2024? * Yes No Parent Information Year started college: * Expected graduation date: * Degree * Undergraduate Graduate Transfer Student? * Yes No Gender * Male Female Marital Status * Single Married Financial Aid Classification * Dependent Independent Ethnicity * - Select -American IndianAsian AmericanBlack/African AmericanHispanic/LatinoNative Hawaiian/PacificIslanderWhiteMulti-RacialOther Child 1 Child Full Name * Birth date * Year Year20032004200520062007200820092010201120122013201420152016201720182019202020212022202320242025 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Child Age * Infant Toddler Preschool School age Full or Part Time? * Full-time Part-time Is your child currently attending a child care center? * Yes No Name of child care center * Address of child care center * Child 2 (optional) Child Full Name Birth date Year Year20032004200520062007200820092010201120122013201420152016201720182019202020212022202320242025 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Child Age Infant Toddler Preschool School age Full or Part Time? Full-time Part-time Is your child currently attending a child care center? Yes No Name of child care center * Address of child care center * If available, choose preferred center: * KinderCare Learning Village New Genesis Other Other: * Financial Aid Estimator Report or Pell Grant Documentation Please upload a copy of your Financial Aid Estimator Report or Pell Grant Documentation.Files must be less than 2 MB.Allowed file types: gif jpg jpeg png txt rtf pdf doc docx odt ppt pptx odp xls xlsx ods xml. Upload Certify * I understand that the CAPE tuition rate is based on student enrollment status, Pell Grant eligibility and additional commitments involved in the CAPE program through the WMU College of Education and Human Development. I understand this is only an application for the CAPE program and reduced child care rates as part of the CCAMPIS grant and that completing this form does not mean that I am accepted into the program or eligible for reduced child care rates. I understand that I will be officially notified when and if I am accepted and I agree to pay the regular applicable child care tuition rates until that time. I understand that if I am Pell grant eligible, student enrollment eligible and there are open CAPE grant spaces for my child(ren) at partner centers, I will be notified of acceptance and will begin to receive the CAPE grant rate at that time, however, if at any time during the semester/session I become non-enrolled at WMU, my rates will revert to the regular applicable child care tuition rate for the following semester/session. I also understand that failure to complete any one semester/session under the CAPE Grant Childcare Tuition Program may disqualify me from the CAPE grant rates and CAPE program for the following semester/session. I understand Leave this field blank Submit
