Dependent Care Application – Life Discovery Conference

Priority consideration will be given to applications submitted by February 24, 2023; applications submitted after that date will be considered on a rolling basis as funds are available until a final date of March 10. These grants will be processed as reimbursements; staff will forward instructions to submit a request when communicating the status of your application.

Please contact ldc@esa.org if you have any questions.

Dependent Care Application

Name

First

Last

What are your childcare / dependent care needs?

I plan to bring my child/children to Tallahassee, FL while I attend the LDC.

I have a dependent at home requiring caregiver services while I attend the LDC.

I need travel support for a caregiver to accompany a dependent traveling with you e.g. an infant

OtherOther

Please describe your dependent care needs and how funds will be applied. Please provide an itemized list of expenses expected.

What is the dollar amount you request (up to $500)?

If you are human, leave this field blank.