Application for Funded Early Learning

Early learning gives your 2 year old child the chance to learn, make new friends, experience new activities, and build their confidence. It is also an important preparation for school.

This form will enable you to quickly check whether your 2 year old child is eligible for a free childcare place.

About your relationship to the Child * Required

Are you the Parent, Carer or Guardian of the child?

Yes

Please tell us your name

Are you completing this on behalf of a local authority?

Yes

What is your relationship to the child?

What is your main contact number?

Have you obtained consent from the child's Parent, Carer or Guardian to act on their behalf?

Is the childcare provider you are using or thinking of using in our area?

Yes

About the Child * Required

What is the child's Date of Birth?

Consent and Notices * Required

I declare that all details given are true and I have been informed that any false or incorrect information could lead to funding being withdrawn.
I understand the information I provide will be used to process my application for Funded Early Learning. And that you will contact HMRC, children's social care and the Home Office as allowed by law to verify my initial and ongoing entitlement to financial support.

Do you consent to the information you provide being used to process this application for Funded Early Learning? Do you agree that we can contact other sources as allowed by law to verify your initial and ongoing entitlement?

Yes