Application Forms & Information

1. Acknowledge that receiving the full annual supplement amount is contingent upon completion of two six-month periods. An installment will be issued after each period, based on the education level and the work schedule of the recipient over the six-month period completed. No portion of the award will be issued if the participant leaves her/his program prior to completing the entire six-month commitment period. Time out for leave or summer breaks cannot be counted toward the completion of a commitment period. New applicants need to be employed at the time of the employment confirmation. Employment is verified after a commitment period is completed and when funding is available. The time of confirmations may be delayed due to funding issues, but the applicant must still be employed when money is available in order to be eligible.
2. Continue employment in a regulated program that meets the funder-specific eligibility requirements for the entire commitment period and notify Child Care WAGE$® IOWA of any change in eligibility. If the eligibility status changes during a six-month commitment period, participation and supplement amount may be impacted.
3. Allow her/his employer to release employment information including date of employment, current position, age level of children in care, current salary or hourly rate and the number of hours worked each week.
4. D. Allow WAGE$ staff to release information about participation, including education, to director and/or owner.
5. Acknowledge that individual application and participation information may be shared with funders or their designees and that name and place of employment may be shared with local resource and referral offices or community colleges if needed.
6. Acknowledge that payments will depend upon available funding and the recipient's employer is not responsible for providing the supplement should funds no longer be available.
7. G. Report and pay and personal income taxes due on annual supplements as required by current tax law.
8. Acknowledge that Iowa AEYC reserves the right to adjust commitment periods and policies based on administration and/or fiscal needs.
9. Acknowledge that reimbursement to Child Care WAGE$® IOWA will be required by the recipient should a salary supplement be issued incorrectly for any reason.
10. Acknowledge that falsifying application information or documentation may result in the inability to be a participant on this program and the recipient consents to employer and program funder notification if participation is terminated due to failure to comply with documentation requirements.
11. Create an i-PoWeR account and it must remain active for duration of time on WAGE$. WAGE$ staff will verify and upload official transcripts to i-PoWeR account.

I attest that the information provided on page 1 of this application and the supporting documentation is true to the best of my knowledge. I have read and understand the Participation Agreement. To be considered for a WAGE$ supplement, I understand that my name, address, email, education level, supplement amount, employer name and employer address may be released to funders of the program or their designees. Information may also be shared with T.E.A.C.H. Early Childhood® IOWA as needed to support my participation in any of the programs listed. I authorize and consent to the release and sharing of such information by Iowa AEYC to the third parties described. I hereby release Iowa AEYC from any liability or damages that may result from the release of sharing such information, including possible inaccuracies, errors, or omissions.

Child Care Center Information must be completed by the Center's Director.

If you are not the director , please hit the "Save and Continue Later" button and send the link to your care center's director.

As an employer of staff participating on WAGE$, your signature on this application indicates your agreement to:

1. Provide Iowa AEYC with information on employees who have applied for a salary supplement. This information shall include:
   • Date employment began
   • Employee's position
   • Status of employee (full or part-time, permanent or temporary)
   • Employee's age
   • Level of children in employee's care
   • Employee's current salary or hourly pay rate
   • Number of hours employee worked each week
2. Be willing to meet with a local CCR&R consultant to begin a continuous improvement plan, if required by funder.
3. Continue to give all staff any regularly scheduled raises regardless of whether or not they receive a salary supplement. WAGE$ will not be used as the reason to withhold an otherwise scheduled raise.