QIFS Application form 2020-2021 - New Brunswick · 2020. 3. 3. · 20202021 Departmen duca evelopment 2020 2 SNB 12555 Part 1 : QIFS Application Form 2020-2021 Important notice •

QIFS Application form 2020-2021Department of Education and Early Childhood Development

The Quality Improvement Funding Support (QIFS) program is administered by the Department of Education and Early Childhood Development

Drawing of an excavatorby Owen, 3 years old

QIFS Application Form 2020-2021 Department of Education and Early Childhood Development

SNB 125551©2020EECD NB

Important information:

The Early Childhood Services Act and Licensing Regulation were proclaimed as of February 1, 2018. The terminology in this document reflects the new Early Childhood Services Act. Please see the QIFS Handbook for a complete list of definitions.

Please note:• Licensed early learning and childcare facilities without infant spaces may apply for QIFS on a

one-time annual basis and must have a valid licence issued on or before March 31, 2020.

• Licensed early learning and childcare facilities with infant spaces may apply any time throughout the program year. However, they must have a valid licence.

• NEW! As of April 1, 2020, the minimum wage in the province is $11.70 per hour. Operators are responsible to distribute QIFS funding over and above their eligible employee’s salaries. (The absolute minimum salary can be no less than minimum wage plus QIFS funding).

• If you are submitting a renewal application you are not required to resubmit an Eligible Employee Form for employees that are already receiving QIFS wage enhancement.

• A QIFS CHANGE FORM is required each time there is a change in any current employee’s status (i.e. change of hours or when an employee leaves and/or a review of your funding).

Attention:Before submitting your 2020-2021 application form, make sure that you have:

• Fully reviewed the current QIFS Handbook

• Completed each section of the application

An incomplete application form will not be processed.

Application Deadline: March 16, 2020

This is a fillable PDF form.

Please submit the following:

• QIFS application form

• IMPORTANT!! FIRST TIME APPLICANTS ONLY: Submit Eligible Employee Forms for all educators for whom funding is being requested

Department of Education and Early Childhood Development – QIFS 250 King Street,P.O. Box 6000, Fredericton, NB, E3B 9M9

or Email [email protected]

Applications submitted by FAX are no longer accepted

For further information please call: 1-866-727-QIFS (1 866 727-7437)

Please keep a copy of all submitted forms for your records.

mailto:QIFS-SFAQ%40gnb.ca?subject=



Part 1 : QIFS Application Form 2020-2021Important notice

• Application deadline: March 16, 2020.

• Please note: Effective April 1, 2020, provincial minimum wage is $11.70/hour.

• You must complete an application form for each licence. The information provided on this form must represent the activities, spaces and fees that apply only to the licence indicated below.

• All questions require a response. Incomplete application forms will be returned. This may result in an interruption in your QIFS payments.

This is a legal document. The information provided on this application must be accurate. Withholding information or giving false information may result in the suspension of funding and repayment of funds received.

The personal information requested on this form is collected under the authority of, and will be used for the purposes of, administering the Early Childhood Services Act. Disclosure of personal information is subject to the New Brunswick Right to Information and Protection of Privacy Act.

Please select one of the two options below:

q New applicant For new applicants ONLY: The Application must include all Eligible Employee Forms (and supporting credentials) for each employee that is eligible to receive QIFS funding.

q 2020-2021 Renewal Did your early learning and childcare facility receive funding from the 2019-2020 Quality Improvement Funding Support program? ❑ Yes ❑ No

You do not need to submit Eligible Employee Forms for Employees already enrolled in QIFS unless there is a change in their status.

By renewing your QIFS program participation you are confirming that the information previously provided on the current Eligible Employee enrolled in the QIFS program is accurate.

I, __________________________________________ (name of operator) hereby confirm that Eligible Employee Forms have been submitted for all eligible employees currently in receipt of wage funding, as listed on the most recently submitted 2019-2020 Quarterly Hours Report.

The Change Form must be submitted to request any changes for existing employees receiving QIFS funding.

A – General information

A 1 – Licence # A 2 – Supplier #

A 3 – Name of early learning and childcare facility:

A 4 – Legal or Corporate Name the Company/Business legal or corporate name if different from above

A 5 – Email:



A 6 – Mailing address: A 7 – Physical address:

Postal Code:

Postal Code:

A 8 – Telephone:

B – Description of the early learning and childcare facilityB 1.1 This early learning and childcare facility is: ❑ Not for profit ❑ For-profit

B 2 If “not for profit”, please indicate the names of:

Chair:

Treasurer:

Administrator:

QIFS Contact person:

B.3 If “for profit”, please indicate the names of:

Operator/Owner:

Shareholders:

Administrator:

QIFS Contact person:

B 4 Do you operate more than one licensed early learning and childcare facility? ❑ Yes ❑ No

B.4.1 If you answered yes to B.4 please provide all the licence numbers in the space below.

C - QIFS Program ReviewC 1 - In the past 6 months, if you had to reach out to QIFS, what was the response time?

❑ the same day❑ within 24 hours❑ within 2 days ❑ within one week❑ I never got an answer❑ I didn’t need to contact QIFS.



C 2 - Do you have any comments and/or suggestions concerning the Quality Improvement Funding Support program?



D – Certification by applicant

Obligations under the 2020-2021 Quality Improvement Funding Support (QIFS) Program

I have read and understood the following requirements:

• The early learning and childcare facility must be licensed (have a licence issued under the authority of the Early Childhood Services Act).

• The funding support is to be used only to increase the wages of educators, administrators/educators, on-site administrators and permanent relief staff who work in the early learning and childcare facility operating under the licence indicated on this form.

• QIFS wage enhancement funding must be distributed to eligible employees based on qualifying hours worked and the wage enhancement rate provided by the Department of Education and Early Childhood Development (according to the directives in the QIFS Handbook).

• There will be an accountability framework in effect during the year to monitor funding allocations.

• Early learning and childcare operators will therefore be required to account for expenditures by keeping accurate, up-to-date records and receipts for verification purposes. Compliance with the program’s procedures and directives is essential to ensure continuing funding support.

• Submission of a signed application does not guarantee funding.

I, the undersigned do hereby certify that all the information provided in this application is correct and that the QIFS funding received will be spent in accordance with QIFS guidelines. In addition, I understand that the Department of Education and Early Childhood Development may share the information contained in this application with other government departments or contracted third-party agencies.

Please include all required signatures for your type of business

By checking the box and entering my name below, I certify that this serves as my official signature (if submitting your form electronically you do not need to physically sign this application)

Mandatory for all early learning and childcare facilitiesSignature of administrator/director: (for all types of facilities) Email of the signatory: Witness: Date (dd/mm/yyyy)

❑ ❑

Signature of owner(s)/operator(s): (Unincorporated early learning and childcare facility) Email of the signatory: Witness: Date (dd/mm/yyyy)

❑ ❑

❑ ❑

Signature of shareholders:(Incorporated early learning and childcare facility) Email of the signatory: Witness: Date (dd/mm/yyyy)

❑ ❑

❑ ❑

Signature of the chair of the board:(Not-for-profit early learning and childcare facility) Email of the signatory: Witness: Date (dd/mm/yyyy)

❑ ❑



Part 2: New Brunswick Early Learning and Childcare Services Annual Data Collection

Important notice

Each year, the Department of Education and Early Childhood Development collects data on the early learning and childcare sector. This information ensures up-to-date data and information to provide a profile of the early learning and childcare sector in New Brunswick. This information also assists the department to improve services and programs available to the sector.

It is therefore very important to provide accurate information.

Please note:

• A data collection form must be completed and submitted for each of your licences. The information provided on this form must represent the activities, spaces, and fees that apply only to the licence indicated below.

• All questions require a response. Incomplete data collection forms will be returned to you.

• Please indicate N/A for not applicable in the empty boxes.

A – General information

A 1 – Licence # A 2 – Supplier #

A 3 – Name of early learning and childcare facility:

A 4 – Legal or Corporate Name the Company/Business legal or corporate name if different from above

A 5 – Email:

A 6 – Did you know that government was creating the online “Provincial Childcare Registry”? ❑ Yes ❑ No

A 7.1 – Do you have access to a computer connected to the internet at your early learning and childcare facility? ❑ Yes ❑ No

A 7.2 – If not, what is your alternative to access the online services offered by the Department of Education and Early Childhood Development?


7

B – Data on employeesPlease complete the table below for ALL employees working in this facility, both those who qualify for QIFS and those who do not. Only include the initials of employees who are not eligible to receive QIFS.

Types of employees: Administrator – A Administrator/Educator – A/E Educator – E Relief – R Support worker – SW Other Staff – OS

First Name Last NameEmployee

typeYears of service

Hourly wage without QIFS*

Level of training (if complete insert the year)

Curriculum éducatif

(30 hours)

ELCC Curriculum Framework (30 hours)

Orientation to ECE/Introduction à l’EPE

(60 hours)

ECE Certificate (one year)

ECE Diploma (two years)

University Degree B Ed

University Degree in any other field

*As of April 1, 2020, the minimum wage in the province is $11.70 per hour.



C – Data on approved spacesIf your licensed early learning and childcare facility was operating during the week of January 13 to 17, 2020, please answer the following questions.

If your facility was not licensed at that time, skip to Section D – Data on Fees

C1 For the week of January 13 to 17, 2020, how many children were enrolled in each program type in your early learning and childcare facility? (Please write the number of children in each box or N/A if not applicable.)

January 13 to 17, 2020

Types of spaces Infant Preschool After school* Total spaces

Occupied spaces – Full-time

**Occupied spaces – Part-time

Number of vacant spaces (not filled)

* Count five-year-olds enrolled in public kindergarten as after school; otherwise, count as preschool.** If you fill an after-school space during the day with a part-time preschool child (e.g., prekindergarten), enter the preschool # in the part-time box.

C2 If you have any vacant spaces, please indicate the reasons why:

q Low enrollment rate

q Location

q School closed in the region

q Another facility nearby

q No school bus stops in the area

q Facility is new

q Other, specify ________________________________________________________________________________________

C3 For the week of January 13 to 17, 2020, was there a waiting list for any of the programs you offer?

Waiting List – Week of January 13 to 17, 2020

Types of spaces Infant Preschool After school Total spaces

Number of full-time enrollments on your waiting list

Number of part-time enrollments on your waiting list

C4 Do you charge parents a fee to put a child on your waiting list? ❑ No

❑ Yes, indicate how much this fee is: $

C 4.1 Is this fee used to cover the cost of the first weeks of early learning and childcare services? ❑ Yes ❑ No

C 4.2 If not, is this fee refundable? ❑ Yes ❑ No

C 4.3 Are there any other fees being collected? ❑ Yes ❑ No

C 4.4 If yes, please explain what type of fees are collected.



D – Data on feesD1 What is the daily fee (per day)* for a child whose parents are paying the full fee? (Please write a number in each box or N/A if not applicable)

Infant 0 to 24 months

Preschool 2 to 5 years

Before and after school 5 to 12 years

Just after school 5 to 12 years

Full time – full day – 5 days/week

$ per day $ per day $ per day $ per day

Part time – full day – fewer than 5 days/week


Part time – half day – 5 days/week (fewer than 4 hours)


Part time – half day fewer than 3 days/week


Note: To calculate a daily fee (per day) based on a weekly rate (per week), divide the weekly rate by the number of days during which service was provided. *If you offer more than one fee per category (e.g., preschool category: 3-year-olds $23 per day, 4-year-olds $25 per day), indicate the average fee.

E - Extended HoursAs part of ongoing efforts from both the Provincial and the Federal Government to improve services and provide support to early learning and childcare in New Brunswick, please answer the following:

Extended Hours Services are services provided at a licenced facility after 12 consecutive hours of services have been provided or after services have been provided for 5 days in a week.

Overnight Services are services provided at a licenced facility between 8 p.m. and 6 a.m.

Source: Licencing regulation 2018-11 of the Early Childhood Services Act

Are you currently offering:

E1.1 Extended hours services? ❑ Yes ❑ No

E1.2 Overnight services? ❑ Yes ❑ No

In the past, have you offered:

E2.1 Extended hours? ❑ Yes ❑ No

E2.2 Overnight services? ❑ Yes ❑ No

E3 If you’ve stopped offering these services, please explain:


SNB 1255510©2020EECD NB

F - SignatureI, the undersigned do hereby certify that all the information provided in the Early Learning and Childcare annual request for data is correct. In addition, I understand that the Department of Education and Early Childhood Development may share the information contained in this application with other government departments or contracted third-party agencies.

Mandatory for all early learning and childcare facilities

By checking the box and entering my name below, I certify that this serves as my official signature (if submitting your form electronically you do not need to physically sign this application).

Signature of administrator/director Email of the signatory: Witness: Date (dd/mm/yyyy)

❑ ❑

❑ ❑

Documents

QIFS Application form 2020-2021 - New Brunswick · 2020. 3. 3. · 20202021 Departmen duca evelopment 2020 2 SNB 12555 Part 1 : QIFS Application Form 2020-2021 Important notice •