CCTA Childcare Reimbursement Request Form
DUE: May 8th, 2021
Name *
Email *
Are you presenting at CCTA?
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Are you an IEEE CSS Member?
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Please certify that you have read and understand the guidelines for reimbursement. (Link Here: https://ccta2021.ieeecss.org/wp-content/uploads/2021/01/CSSChildCarePolicy-Approved-Jan2020.pdf)
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Please list your anticipated reimbursement request amount to aid to determine how many grants can be awarded (max $500k per family).
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