Quality Care for Hawaiian Keiki Childcare Subsidy Program
ELIGIBILITY SCREENING
7.2023

WELCOME!

Thank you for your interest in the Quality Care for Hawaiian Keiki child care subsidy program.

8/14/23 FOR VICTIMS OF THE MAUI WILDFIRES, PLEASE BE SURE TO ANSWER SPECIFIC QUESTIONS SO THAT YOU CAN BE PRIORITIZED FOR DISASTER RELATED FUNDING THROUGH MFSS (AS IT BECOMES AVAILABLE).

FOR FAMILIES NOT AFFECTED BY THE FIRES, WE ARE WAITLISTING PENDING AVAILABILITY OF QUALITY CARE FOR HAWAIIAN KEIKI FUNDING. PLEASE CONTINUE WITH THE APPLICATION AND GET ON OUR WAITLIST FOR WHEN FUNDS BECOME AVAILABLE.

***EMAIL IS OUR PRIMARY WAY TO COMMUNICATE WITH YOU.

PLEASE CHECK YOUR EMAIL OFTEN AND CHECK YOUR JUNK/SPAM FOLDER!***

If you have any questions about this screening or the Quality Care for Hawaiian Keiki program, please email qchk@mfss.org or call 808-793-2816.

Mahalo

Quality Care for Hawaiian Keiki

Question Title

* 1. HAVE YOU RECENTLY BEEN NOTIFIED BY CHILD CARE CONNECTION/ARBOR THAT YOU ARE NO LONGER ELIGIBLE OR ARE GOING TO HAVE A REDUCED AMOUNT OF ASSITANCE?

Yes, I have been told that my Child Care Connection/Arbor assistance will STOP.

Yes, I have been told that the amount I get from Child Care Connection/Arbor will DECREASE.

No, I have not heard from Child Care Connection/Arbor.

N/A I do not currently have Child Care Connection/Arbor.

Question Title

* 2. Was your family affected by the fire in one of the following ways? (Check all that apply)

Loss of home

Loss of job

Living in Lahaina/West Side but home/job were not lost to fire

Due to the fires (regardless of where I live) - I or a member of my immediate family has experienced or continues to experience stress, worry, fear or anxiety.

Due to fires (regardless of where I live) - I or a member of my immediate family has received or continues to receive mental health support due to fire related stress, worry, fear or anxiety.

n/a - None

Other (please specify)