Interest form for Essential Workers - Childcare
Thank you for reaching out as a member of the essential workforce during the COVID19 pandemic. The essential workforce is defined by Governor Whitmer's Executive Order (2020-16) as the following:
Essential workforce includes: health care workers, home health workers, direct care workers, emergency medical service providers, first responders, law enforcement personnel, sanitation workers, child care workers (including any employees acting as child care workers in essential workforce child care centers), personnel providing correctional services, postal workers, public health employees, key government employees, court personnel, and others providing critical infrastructure to Michiganders.
Critical infrastructureā€¯ includes: utilities, manufacturing, mass transit, and groceries or other essential supplies, goods, or equipment.
Key government employees includes: child protective services workers, child welfare workers, foster care workers including those from contracted agencies, recipient rights workers, employees of the Executive Office of the governor, cabinet officers and their designees, Department of Health and Human Services field office staff, Unemployment Insurance Agency employees, and other employees identified by the Department of Technology, Management, and Budget.
Name *
Phone Number (include area code) *
Email (if no email, type "none") *
What county do you live in? *
What county do you work in? *
In what city would you prefer child care? *
What is your occupation/role? *
Which industry do you work in? *
Which organization/agency do you work for (please write out the entire name of your organization)? *
What shift do you typically work? *
Which days per week do you potentially require child care? *
How many children do you have that would require care? *
Do any of your children have special needs that would require different care arrangement possibly? *
If yes to question above, what special needs does your child have?
What is the age of child 1 (if under 3 please indicate age in months)?
What is the age of child 2 (if under 3 please indicate age in months)?
What is the age of child 3 (if under 3 please indicate age in months)?
What is the age of child 4 (if under 3 please indicate age in months)?
What is the age of child 5 (if under 3 please indicate age in months)?
Thank you!
Thank you for submitting your interest form to Help Me Grow-Ottawa, a Help Me Grow Care Coordinator will be in contact within 24 hours to connect with you about your child care needs. If you have any questions you can also call or text us at 1-844-233-2244 or email us at
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