Early Educator Health and Wellness: Building Resilience for Early Education Workforce, Children, and Families  

Translate the Application
Open the application using the Google Chrome web browser:
  • Anywhere on the application form, right-click for a drop-down menu.
  • From the drop-down menu, select “Translate to.”
  • Choose the preferred translation language.
Para traducir el formulario al español u otro idioma:
  • Abra el formulario con el navegador web Google Chrome. Descarga Chrome aquí.
  • En cualquier lugar de este formulario, haga clic con el botón derecho y verá un menú desplegable.
  • Selecciona "Traducir a".
  • Elija el idioma al que le gustaría que se tradujera.
Application Instructions

Thank you for your interest in the Municipality of Anchorage Early Educator Health and Wellness Grant: Building Resilience for Early Education Workforce, Children, and Families. thread has received funding from the Municipality of Anchorage (MOA), Anchorage Health Department (AHD) to provide health and wellness services for early childhood educators.

This grant supports early educators by promoting their health and wellness. Applicants can apply for one or more of the following three initiatives:

1.) Health Services (Optima Benefits):
Access to telehealth, dental, vision, insurance plans, and more.

2.) Gym Membership (Body Renew “Signature Membership” Package):
Includes unlimited sauna and tanning, Bring-A-Friend privileges, 24-hour access to Body Renew locations, customized workout programming, a success coach to check in with frequently to make sure you're making progress on your goals, online fitness tracking and more!


3.) Health & Wellness Fair:
A wellness event offering blood screenings and a mental health-focused training session.


When we are healthy both physically and mentally, we’re better able to stay engaged in our work, collaborate effectively with colleagues, and meet the needs of the children we serve.

This project is supported by a grant awarded by the Municipality of Anchorage, Anchorage Health Department.   

The opinions, findings, and conclusions or recommendations expressed in this publication/program/exhibition are those of the author(s) and do not necessarily reflect the views of the Municipality of Anchorage, Anchorage Health Department.

ELIGIBILITY REQUIREMENTS
  • Educators who are currently working in a licensed child care program within the Municipality of Anchorage
  • Educators who are a member of the Alaska SEED Registry

NOT ELIGIBLE

  • Educators who work for a program outside of the Municipality of Anchorage
  • Educators who work for programs that are licensed by the Child Care Program Office (CCPO) and not the Municipality of Anchorage

Prepare to Apply 
Complete the Application   
  • Complete the application below. Questions with an (*) require a response.  
  • Read the acknowledgement statement. 
  • Check the signature box and type your name. 
  • Submit the application. 
  • Review the application.
  • Confirm the application to submit.  
Application Help 
PART 1: APPLICANT & PROGRAM INFORMATION
A. Contact Information



(applicant personal email)

(applicant personal telephone)










B. Demographics
This information is a requirement for enrollment.






C. Eligibility




Sorry, you are not eligible for this grant. You must be employed in the Municipality of Anchorage.

You're not eligible for this grant yet, but you can be!
To qualify, you need to be a current member of Alaska SEED.

Good news: registration is easy!

Visit the Service Portal and login to become an Alaska SEED member today.

Sorry, you are not eligible for this grant. You must currently work in a licensed child care program in the Municipality of Anchorage.
PART 2: DOCUMENTATION
A. IRS Form W9

To complete the IRS Form W9:  (1) Download IRS Form W9 here.  (2) Fully complete and sign. (3) Save and upload here.  An inaccurate or incomplete W9 may delay processing the application.  See below instructions for example of completed IRS Form W9.  
Example of Completed IRS Form W9
  • Line 1: Name (as shown on income tax return) is complete.
  • Line 2: Legal business name is complete. The program legal business name is listed on the State of Alaska Business License, if applicable. (See example below.)
  • Line 3: Federal tax classification is complete.
  • Line 5-6: Current mailing address is complete.  Note: The check will be sent to the address on the program's W9. 
  • Part 1: Taxpayer Identification Number (Employer Identification Number (EIN) or Social Security Number) is completed.
  • Part 2: Certification signature and date are completed. 
Example W9
B. Child Care Program License

Please upload a copy of your child care program license issued by the Municipality of Anchorage. Contact your program administrator/director for a copy if you are an employee. Legible photos are acceptable.
PART 3: ACKNOWLEDGMENT STATEMENT & SIGNATURE


By submitting this application: 
  • I understand that it is my responsibility to maintain records and other documentation to support the use of the grant services received.
  • I understand that this grant may impact my individual taxable income. I will seek assistance as necessary from IRS.gov or a tax consultant for guidance.

  • I understand that this grant is subject to audit and monitoring via surveys, focus groups, or other methods. I agree to participate in these activities as necessary or as requested.
      
  • I certify that the child care program I work for is located in the Municipality of Anchorage. 

  • I certify that I work for a licensed child care program.
  • I hereby certify that, to the best of my knowledge, the provided information is true and accurate.