2025 Alaska SEED
Retaining Our Outstanding Teachers (ROOTS) Award Application


To translate the form into Spanish or another language (Para traducir el formulario al español u otro idioma):
  1. Open the form using Google Chrome web browser. Download Chrome here. (Abra el formulario con el navegador web Google Chrome. Descarga Chrome aquí.)
  2. Anywhere on this form, right click and you will see a drop-down menu. (En cualquier lugar de este formulario, haga clic con el botón derecho y verá un menú desplegable.)
  3. Select “Translate to …” (Selecciona "Traducir a ...".)
  4. Choose the language you would like it to be translated to. (Elija el idioma al que le gustaría que se tradujera.)
  5. Repeat steps 2-4 on each new form page. (Repita los pasos 2 a 4 en cada nueva página de formulario.)

Part I: Eligibility Requirements

Licensed Child Care Provider: Any child care provider working at a Child Care Program that is licensed by the State of Alaska, Child Care Program Office (CCPO) or the Municipality of Anchorage, Child Care Licensing (CCL).

Approved Child Care Provider: Any child care provider working at a Child Care Program that is approved by the State of Alaska, Child Care Program Office (CCPO) Child Care Assistance (CCA) Program as an Approved Relative Provider, or an Approved In-Home Provider. 

School District Certified Teacher or Paraprofessional: Any certified teacher or paraprofessional currently working in a school district classroom with preschool-aged children, three to five years of age.

Head Start Home Visitor, Teacher, or Assistant Teacher: Any home visitor, lead teacher, or assistant teacher currently working in a Head Start program serving children birth to five years of age.

Infant Learning Program Developmental Specialist: An Infant Learning Program/Early Intervention Provider is a professional who delivers services under Part C of the individuals with Disabilities Education Act (IDEA).

Parents as Teachers Provider: A Parents as Teachers (PAT) Provider is a certified professional who delivers early childhood education and support services to families through the Parents as Teachers program.

To confirm a child care facility is licensed by CCPO or CCL, please use the State of Alaska's "Find a Child Care Provider" search.
Part 2: Contact Information

Your legal first name (as it appears on your government-issued social security card)

Your legal last name (as it appears on your government-issued ID social security card)

Must match personal address on IRS Form W-9




Part 3: Current Employment Information







Part 4: Wages and Benefits
In response to data requests about the early childhood and school age workforce, this section collects data to better understand the current workforce. This section is not tied to the 2025 Alaska ROOTS eligibility.
Wages

$


Benefits



Part 5: Upload W9

Example of completed W9.
Please upload your IRS Form W-9

The 2025 Alaska SEED ROOTS award is taxed as income. Taxes are not taken out upon distribution. Recipients are responsible for claiming the Alaska SEED ROOTS award when they file their income taxes for 2025 and paying any applicable tax. 

Click here to download a blank W9 Form. Save the form to your computer before completing and uploading.

Complete the following sections of the IRS Form W-9:
  • 1: Full legal name (as it appears on your government-issued social security card)
  • 2: Leave the business name section blank
  • 3: Select “Individual/sole proprietor or single-member LLC”
  • 5: Address (must match personal mailing address on 2025 Alaska SEED ROOTS Application)
  • 6: City, State, Zip
  • Part I: Social Security Number (Not the Employer Identification Number)
  • Part II: Signature & Date
This is a legal document and must be free of any errors. To avoid mistakes, delays, or denial of your application, please ensure your W-9 form is completed neatly and accurately. Use only blue or black ink, or complete the form digitally. Do not scribble, scratch out, write over, erase, use white-out, or spill anything on the form. If an error occurs, please download a new blank W-9 and start again.

Part 6: Review and Signature