Childcare Stipend Application

Childcare Stipend Application
Program ID
Cohort ID
Approval Status for Applicant

Pending ApprovalApprovedDenied
Application Status
Your application is {approvalStatus}.
Thank you for your interest in childcare stipends. Fill in and submit this form to apply for childcare stipends.

This funding is from the Department of Industrial Relations and Division of Apprenticeship Standards through the Equal Representation in Construction Apprenticeship grant. The funding for these grants comes from CA General Fund in the annual budget bill which allocated $15 million in fiscal year 2024-2025. In addition, this grant also originates from the 2022-2023 SB 191, which established a Women in Construction Priority Program within DIR, with a mandate to assist and provide resources to women and non-binary individuals to work in the construction industry.

Eligibility:
- Apprentice or pre-apprentice in a DAS-registered program
- Parent of child aged 13 or under
- Parent of child with disability (can be over 13 years of age)
- Must be active in the program
Additional application points are given to the following:
- Apprentices in these programs: BAC Local 3 Bricklayers, UA 342 Plumbers & Fitters, UA 159 Plumbers & Fitters, UA 343 Napa/Solano Counties Plumbers and Steamfitters JATC, Alameda Co. Electrical JATC, Contra Costa Co. Electrical JATC, DC 16 Painters & Allied Trades, Local 16 Heat and Frost Insulators, Local 3 Operating Engineers, IUEC Local 8 Elevator Constructors, Local 378 Iron Workers
- Pre-Apprentices in these programs: RichmondBUILD, Rising Sun Center for Opportunity, Future Build, Cypress Mandela Training Center
- Veterans
- Single Parents
- Low-Income (see page 7 on this website on to determine if you qualify)
- Formerly Incarcerated
  - Formerly incarcerated refers to anyone who has been in a carceral setting and is now released. Prison, immigration detention centers, local jails, juvenile detention centers, etc.
- Resident of Alameda County, Contra Costa County, Solano County, or Napa County
Other considerations before you apply:
- This may be taxable depending on your financial situation. You will receive a W-2 from CTWI the following calendar year if you receive this stipend. We cannot provide any additional tax information, so please consult a tax professional if you have any questions.
After you submit your form:
- You will get an email to confirm receipt of your form. Check your inbox to make sure you properly submitted this form.
- You will get notified by the third month of the quarter (March, June, September, December) if you got approved or if your application is still pending.
- Once you are approved, you will get notified of your payment schedule and onboarding.
If you are approved:
- For apprentices: You will receive a $2,500 payment within 30-60 days of your approval notification, depending on your selected payment method.
- For pre-apprentices: You will receive a $5,000 payment within 30-60 days of your approval notification, depending on your selected payment method.
- If you are not responsive to communications regarding your stipend payment, we will cancel your application.
- For apprentices: You are eligible to receive additional $2,500 payments depending on how many applications are received and your application ranking. You cannot receive more than $10,000 in a calendar year.
More questions? Contact contact@ctwi-btca.org.

Personal Information
Name*

First NameLast Name
Program Type*
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Gender*
Highest Level of Education Completed*
Ethnicity – Multi-select (check all that apply):*

American Indian or Alaska NativeAsianBlack or African AmericanHispanic or LatinoNative Hawaiian or Other Pacific IslanderWhiteOther
Marital Status*
Number of Children/Dependents under 13 years old or with a disability (a child with a disability can be over 13 years old)*

Document Upload

We need the following documentation to process your application.
Are you an apprentice or pre-apprentice?

ApprenticePre-Apprentice
For apprentices: To find your Division of Apprenticeship Standards certification, go to the DIR Division of Apprenticeship Standards website (link: https://www.dir.ca.gov/das/appcertpw/AppCertSearch.asp) and enter your information.
Active Apprentice/Pre-Apprentice – Upload Division of Apprenticeship Standards certification showing active status*

Cancelof
Social Security Number*
Upload SSN Card*

Cancelof
Please upload a proof of residency document. Acceptable forms of residency documents are:
- ID
- Driver’s license
- Utility bill
- Lease
Upload Residency Document(s)*

Cancelof
On the previous page you indicated that you have children under 13 years of age or with a disability (can be over 13). Please enter their names and birth certificates.
Child Name*

First NameLast Name
{child5125} Age*
{child5125} Birth Certificate*

Cancelof
Child Name*

First NameLast Name
{childName} Age*
{childName} Birth Certificate*

Cancelof
Child Name*

First NameLast Name
{childName146} Age*
{childName146} Birth Certificate*

Cancelof
Child Name*

First NameLast Name
{childName149} Age*
{childName149} Birth Certificate*

Cancelof
Child Name*

First NameLast Name
{childName152} Age*
{childName152} Birth Certificate*

Cancelof
Are you the parent of a child with disability?*

YesNo
Proof of Disability (Doctor's Note, Medical Record, Other)*

Cancelof
Eligible childcare/care costs include:
- Daycare or Special Needs Care reimbursement.
- In-home childcare costs (such as a nanny, babysitter, au pair, family member or institutional-setting care, such as child daycare or special needs care services by qualified caregivers.)
- Summer or vacation day camps.
- Before- and after-school care.
- Application fees, deposits (etc. requirements for obtaining care, but only if care is subsequently provided).
- Enrichment programs and lessons (i.e. music, sport lessons).
Select Childcare Method:*
Childcare Expense per Month (All Children)
$ Childcare Expense* /month
Upload Proof of Childcare Expenses*

Acceptable forms of documentation include: Receipt, Invoice, Contract, Program Brochure or Website. If you have any questions about documentation, please email contact@ctwi-btca.org.
Cancelof

Childcare Affidavit & Consent
I, {name}, certify that the following statements made regarding grant money given and received for payment of childcare services provided during my attendance at an apprenticeship program and related on-the-job training are true:

My home address is {address}.
My phone number is {phoneNumber}.

I am the parent or guardian of the following Child(ren) receiving childcare services:
- {child5125} {child5125Age}
- {childName} {childnameAge}
- {childName146} {childname146Age}
- {childName149} {childname149Age}
- {childName152} {childname152Age}
The Child(ren) receiving childcare services reside at my home address or at   Street Address   Address Line 2   City   State   Zip   .

If applicable, the childcare provider is   (name of business or individual)   at   Street Address   Address Line 2   City   State   Zip   (address and phone number where childcare services are provided).

The childcare provider   *   to the Child. If applicable, the childcare provider is the    to the Child.

The grant funds that I receive will be used exclusively for the costs associated with childcare during my attendance at the apprenticeship program, including completion of the job training units necessary to complete my apprenticeship program. Childcare costs are limited to: daycare reimbursement, in home childcare costs (such as a nanny, babysitter, au pair, family member or institutional-setting care, such as child daycare services by qualified caregivers), summer or vacation day camps, before- and after-school care, application fees, deposits (etc. requirements for obtaining care, but only if care is subsequently provided), or enrichment programs and lessons (i.e. music, sport lessons).

Additionally, I agree to coordinate and cooperate with any State audit of these grant funds so that the auditor may assess and determine whether the grant funds I have received were applied to childcare for the benefit of my attendance and completion of my apprenticeship program.

I, {name}, the parent/guardian of the Child, acknowledge and agree to the terms and conditions of this Affidavit for Childcare Stipend and attest to the above.
I also agree to be contacted by email and text messages from CTWI staff.

Signature:    Signature*
Date:   Date*
Should be Empty:

Childcare Stipend Application

Application Status

Personal Information

Document Upload

Additional Information

Childcare Affidavit & Consent