Special Accommodations Grant (SAG) Child Development Division

Special Accommodations Grant (SAG)

September 2025-August 2026
The Agency of Human Services, Department for Children and Families, Child Development Division (referred to as the “State”) invites Vermont Regulated Specialized Child Care Programs to apply for funds to support the safe and successful inclusion of one or more children in their program. These funds are designed to support the safe and successful inclusion, access, and participation of one or more children with identified needs in your group or classroom. The grant funds are intended to cover any gap left after all entitled or eligible services are provided for the child(ren).

You have the flexibility to apply for grant funds to purchase the following:
1. Specialized materials and/or supplies (See RFGA for details)
2. Consultation, training, or coaching for your child care staff tailored to support the child/children's needs
3. Inclusion Support Staff to provide additional staffing. If your application is approved, your program may receive funding for an additional staff person to support the safe and successful inclusion of one or more children. This Inclusion Support Staff member is not permitted to count toward licensing ratios. Their role is specifically to provide individualized assistance that goes above and beyond your required staffing.
Specialized Child Care Programs (SCC) must be in compliance with their SCC Agreement and in good standing with Vermont child care licensing regulations. If you need more information on the status of your Specialized Child Care Agreement, please contact your Regional Specialized Child Care Coordinator. SCC programs may apply on behalf of one or more children with identified needs who require additional support to access or remain enrolled in their program. Child care programs must complete the SAG application in partnership with the child’s team, which includes the child’s parent/caregiver and the professionals working together to support the child’s successful inclusion within the program.

Step 1: Review and Prepare Your Application

✔️ Review the RFGA and Frequently Asked Questions
- Read the Request for Grant Applications (RFGA for SAG) for details about timelines, eligibility, required documentation, and grant specifications.
✔️ Meet with the Parent or Legal Guardian
- Review the CIS SAG Parent/Guardian Consent Form together.
- Both the provider and the parent/legal guardian must sign the form.
- List the names of professionals on the child’s support team who are contributing to the application.
- Upload the signed form with your application.
✔️ Request the Service/Health Provider Letter of Support
- Email the SAG Service/Health Provider Letter of Support Form to a provider who can speak to the child’s needs.
- Once submitted by the provider, the form will be automatically uploaded into JotForm and linked to your application.
Step 2: Required Attachments

✔️ CIS SAG Parent/Guardian Consent Form
- Upload one signed form for each child named in the application.
✔️ SAG Service/Health Provider Letter of Support Form
- This form will be submitted directly by the provider via JotForm.
- Only upload the PDF version if the provider gave it to you directly.
- Letters completed by the child care program staff will not be accepted
✔️ Child(ren)’s Plan(s)
Submit at least one of the following, dated within the past 6 months:
- CIS One Plan (active or interim plan)
- Individualized Education Plan (IEP)
- Educational Support Team (EST) Plan
- 504 Plan
- Mental Health/Behavorial/Health Related Plan
If no formal plan is available, include referrals, screenings, or evaluations that demonstrate and show the child’s need for support.

✔️ Certificate of Insurance
     • Must meet the insurance requirements outlined in Attachment C, Section 8 of
   the RFGA.

✔️ W-9 Form
      • Must be signed and dated within the last six (6) months.
✔️ Unique Entity ID (UEI)
- Unique Entity ID (UEI) – Applicants are required to have a UEI assigned by registering on SAM.gov.
- Suppose you have requested a UEI but have not yet received it. In that case, you will need to provide a copy of the email from SAM.gov showing that you have requested the UEI and/or the help desk email confirmation regarding any follow-up on the issuance of a UEI.
- If your UEI is in process, please upload a signed and dated Certification of Suspension and Debarment.
- If you have a UEI, but your SAM registration is not active, please upload a signed and dated Certification of Suspension and Debarment.
Questions and Technical Support:

🧾 SAG Weekly Applicant Information Session
Join our weekly virtual Q&A to ask questions or get help with your SAG application.

🗓 Day: Every Thursday (unless otherwise posted)
🕛 Time: 12:00 PM – 1:00 PM
📍 Location: Microsoft Teams (virtual)
🔗 Join the Meeting Online
Click here to join the meeting now Meeting ID: 272 197 492 755 7
Passcode: Vo2Ni2ev

📞 Join by Phone
Dial: +1 802-552-8456,,443062859# (United States – Montpelier)
Phone Conference ID: 443 062 859#
Find a local dial-in number

Before You Proceed with the Application
Before proceeding with the application, please note the following:
- The application could take 30 to 60 minutes to complete.
  - You can save and continue later at any time by clicking the Save button at the bottom of the page. In order to save, you will be required to create a JotForm account (if you don't already have one) using an existing Google or Facebook account, or your email.
- Please have the Required Attachments (see previous page) saved to your computer and ready to upload into this application.
Please verify the following:*

I have read and reviewed the RFGA CDD- SAG 9-5-2025.I have a completed CIS Parent/Guardian Authorization Consent form for each child to be named in this application.
You cannot move forward with this application until you have reviewed the RFGA.
You cannot move forward with this application until you have received parent/guardian consent for each child named in the application. To get consent, please have the parent(s)/guardian(s) complete the CIS Parent/Guardian Authorization Consent Form.

SAG Application Part 1

Organization/Program Information
Application Status

Fully ApprovedDeniedPartially ApprovedWithdrawnPending/Incomplete
Application Round
License/Certificate #*
The license number can be found on your license certificate that is posted on the wall in the program.
VT Business ID #*
If you are unsure of your ID #, you can search for it on the Vermont Secretary of State's website at https://bizfilings.vermont.gov/online/BusinessInquire/.
State of Vermont Vision Supplier ID*
Please see the FAQs for instructions of how to locate at https://www.vermontbusinessregistry.com/BidPreview.aspx?BidID=57470
Child Care Program Name*
Enter your program name as listed in BFIS or CDDIS. If you are a registered family child care home provider, list your own name (e.g., Jane Doe).
Licensee Organization Name
Enter the name of the organization or person who receives the funds/owns the program, if different from the Program Name.
Program Type*
Who is the Point of Contact?

Responsible for answering questions regarding this application information.
Point of Contact's Name*

First NameLast Name
Point of Contact's Job Title*
Point of Contact's Phone Number*
Please enter a valid phone number.
Point of Contact's Email*
example@example.com
Organization/Program's Physical Address*

Street Address

Street Address Line 2

CityState

Zip Code
AHS District- Program
Is your program's mailing address the same as your physical address? *
Organization/Program's Mailing Address (if different than physical)*

Street Address

Street Address Line 2

CityState

Zip Code
Child Care Program Details...
Does your program have Specialized Services Status?*
If your program does not have Specialized Child Care status, please reach out to your Specialized Child Care Coordinator at the to find out more about becoming a Specialized Child Care Program. Please do not continue with this application until you have contacted your Specialized Child Care Coordinator.
Head Start Program?*
Current STARS Rating*
Is your program a current Universal Pre-K program?*
Accepts Child Care Financial Assistance*
Does your program currently have an active Special Accommodation Grant (SAG)?

YesNo
Please tell us which classroom the grant is currently supporting, how many children are being supported, and give a brief description of how the grant is working for your program at this time.*

Child(rens) Information
⚠️Reminder for Renewal Applications
- If you are reapplying for a child who currently has a SAG grant, please note that there is not a separate renewal application.
- For each question, think about the progress you have made and describe your answers from that perspective.
- Include when possible:
  - The strategies currently in place to support the child
  - An explanation of how these strategies are working and the improvements observed
  - Any new or adapted practices your program is using to further strengthen inclusion
  - A clear explanation of why continued funding is necessary to maintain or enhance support for the child

How many children are part of this application?*

Funding Request Details

Please provide one funding request for all the identified children in your program.
What type of SAG funding are you applying for? (Please select all that apply.)*

Adaptive Supplies or MaterialsSpecialized Training/Consultation and CoachingInclusion Support Staff
Associated Costs: Adaptive Supplies or Materials
Specifications: Supplies and materials should directly support the inclusion and development of children with identified needs. The following categories outline acceptable use of grant requests up to $1,000.00 per application. The supplies and/or materials must remain in the child care program after the grant period ends to support overall inclusion of children with identified needs.
Please list specific supplies/materials. These must be specific to the child's needs (i.e., age appropriate). $1,000.00 Limit*
Total amount requested for supplies/materials (Not to exceed $1,000.00) - (This field is automatically calculated.)
How will the supplies or materials support the program in meeting the child(ren) plan goals for successful inclusion in the program?*
How do these additional supports increase inclusive practices in your child care program for all children?*
Specialized Training/Consultation
Please list the specific trainings/consultations or coaching. This cannot occur outside of the approved grant award term.*
Total Amount Requested for Training/Consultation or Coaching (Not to exceed $500.00) - (This field is automatically calculated.)
Inclusion Support Staff
Who would be directly responsible for supervising the inclusion support staff hired with these funds?*
Supervision Plan for Inclusion Support Staff: Please provide a detailed plan outlining how the Inclusion Support Staff will receive training and supervision throughout the grant term. This plan should be developed collaboratively with the child’s or children’s support team and should clearly demonstrate how the Inclusion Support Staff will implement strategies that ensure the child receives support alongside their peers throughout the grant period.*

Number of inclusion support staff.*
Proposed Start Date (An application's proposed grant start date can't be prior to the current RFGA round submission deadline. See SAG Guidance) *

MonthDayYear
Proposed End Date - (An application's proposed end date can't exceed 12 months)*

MonthDayYear
Total hours description: (This is the total hours planned during the grant term for each inclusion support staff. If the hours vary based on season (ie. school and summer), please show the differences. For example, ( 15 hrs per school season week x 40 weeks + 35 hrs per summer season week x 12 weeks = 1020 hours.):*
Staff 1
Staff 1 - Hourly Rate of Pay
Staff 1 - Enter the total hours you are requesting for staff during the grant term.
Staff 1 - Total amount requested for staff
Staff 2
Staff 2 - Hourly Rate of Pay
Staff 2 - Enter the total hours you are requesting for staff during the grant term.
Staff 2 - Total amount requested for staff
Staff 3
Staff 3 - Hourly Rate of Pay
Staff 3 - Enter the total hours you are requesting for staff during the grant term.
Staff 3 - Total amount requested for staff
Total number of inclusion support hours (this is the total hours planned during the grant period for all inclusion support staff) (This field is automatically calculated.)
Total Amount Requested for Inclusion Support Staff (This field is automatically calculated.) *
Fringe benefits cost for inclusion support staff: (allowances and services provided by employers to their employees as compensation in addition to regular salaries/wages. Fringe benefits include, but are not limited to, the costs of leave [vacation, family-related, sick or military], employee insurance, pensions, and unemployment benefit plans.) Enter 0 if not requesting fringe*
Please estimate indirect costs (costs associated with supporting the organization that may not directly relate to service delivery [your organization’s accountant or IT security provisions are good examples.] Indirect costs may not exceed 10% of modified total direct project costs unless the organization has a federally approved indirect cost rate letter indicating a different rate. Enter 0 if not requesting an indirect cost.*
*If you are using a federally approved indirect cost rate, please submit a copy of the letter with your application.
Total SAG Funding Amount Requested From CDD (This field is automatically calculated.)

Certification & Submission
By submitting this application, you certify to the following:
- The information provided on this application is true and accurate.
- I understand that the information provided on this application may be verified by other programs, such as Child Care Licensing, Child Care Financial Assistance Program and AHS prior to a grant award being issued.
- I agree that, as the Applicant, I must repay the grant or portion of the grant to the CDD if any grant funds received are based on incorrect representations made on this application or to the State related to this application.
Signature*

Clear
Job Title (Person Signing Above)*
Name*

First NameLast Name
Address of Signature Signing Above: *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Important! Please read.

If you want a copy of your entire submission, you MUST click the Print button below before you click the Submit button. The confirmation email you receive once you hit submit will not contain any HIPAA-related information.

Please Note: If you print or save the application, you are responsible for ensuring HIPAA compliance.
Should be Empty:

	Monday hours	Tuesday hours	Wednesday hours	Thursday hours	Friday hours
Early Childhood Education Program
Afterschool Program

	Monday hours	Tuesday hours	Wednesday hours	Thursday hours	Friday hours
Early Childhood Education Program
Afterschool Program

	Monday hours	Tuesday hours	Wednesday hours	Thursday hours?	Friday hours
Early Childhood Education Program
Afterschool Program

	Monday hours	Tuesday hours	Wednesday hours	Thursday hours?	Friday hours
Early Childhood Education Program
Afterschool Program

Age of Child(ren)	Allowable hours per week funded by SAG award
0-2	35 hours
3-5	38 hours
6-13	15 hours afterschool /or up to 38 for school vacations, including summer

Special Accommodations Grant (SAG)

You have the flexibility to apply for grant funds to purchase the following:

Before You Proceed with the Application

SAG Application Part 1

Who is the Point of Contact?

Child Care Program Details...

Child(rens) Information

Child 1 Information

Child 2 Information

Child 3 Information

Child 4 Information

Funding Request Details

Associated Costs: Adaptive Supplies or Materials

Specialized Training/Consultation

Inclusion Support Staff

Staff 1

Staff 2

Staff 3

Additional Requirements

SAM.Gov Information

Risk Assessment

Exceptions to the Standard State Granting/Contracting Provisions

Required- Certificate of Insurance

Required -W-9 Form

Certification & Submission