PROVIDER APPLICATION FOR TUITION ASSISTANCE REIMBURSEMENT

Expanding Access to Quality Preschool

Providers that are eligible and interested in receiving Cincinnati Preschool Promise ("CPP") Tuition Assistance reimbursements are invited to complete and submit this application. To be considered eligible to receive Tuition Assistance reimbursements on behalf of participating families, providers must:

- Be licensed by the Ohio Department of Education (ODE) or the Ohio Department of Job and Family Services (ODJFS) 

- Be physically located within the geographical boundary of the Cincinnati Public School District

- Have a three, four, or five-star rating on Ohio's Step Up To Quality rating system

For more information on eligibility, decision criteria for applicants, and the reimbursement process, please refer to the CPP Tuition Assistance Provider Manual.

Section 1: General Provider Information

Please complete the following information for your program: (Note: Multi-site preschool programs must submit an application for each site, as tuition assistance reimbursement amounts will vary based on the SUTQ rating of the individual site)

Program address (physical location)

 

Cincinnati Preschool Promise] 2400 Reading Rd., Cincinnati, Ohio, 45202| 513-447-4277 |info@cincy-promise.org www.cincy-promise.org 1

Please indicate the month and year you received your rating, if applicable:

What is the breakdown of classrooms for the following:

Please indicate the number of ECE classrooms in your program that will be participating in Cincinnati Preschool Promise:

How many seats in your program are reserved for preschool-aged children? (Note: Preschool-aged is defined as the 2 years prior to kindergarten, and 4-year-old children)

Cincinnati Preschool Promise] 2400 Reading Rd., Cincinnati, Ohio, 45202 | 513-447-4277 | info@cincy-promise.org www.cincy-promise.org 2

Section 2: Program Contact Information

Please complete the information below for each designated contact, even if the contact will be the same. Cincinnati Preschool Promise will use this information to streamline communication for you and your organization.

Cincinnati Preschool Promise | 2400 Reading Rd., Cincinnati, Ohio, 45202|513-447-4277 | info@cincy-promise.org www.cincy-promise.org 3

Section 4 - Statement of Commitment to Continuous Improvement CPP does not equate high quality as simply being star-rated but also as pursuing these essential five aspects of quality:

- Implementing a comprehensive curriculum

- Engaging families in systematic and intentional ways

- Implementing an effective social-emotional framework

- Embracing policies and practices that reduce the achievement gap and foster equity

- Empowering children to develop the 21st-century skills that are essential for creating a competitive workforce

Cincinnati Preschool Promise] 2400 Reading Rd., Cincinnati, Ohio, 45202|513-447-4277 |info@cincy-promise.org I www.cincy-promise.org 4

Expanding Access to Quality Preschool

Section 5 - Tuition Reimbursement Payment Form

CPP calculates tuition reimbursement payments based on the information submitted by the preschool program on the monthly attendance report. Once the amount of payment is determined, DPP will transfer payment directly to the preschool programs designated account on behalf of the eligible child's family. To ensure prompt payment, please complete the information below.

Filling in this information authorizes CPP to initiate credit transactions and correcting debit transactions to the designated account. A debit withdrawal will only occur to this account if a credit (deposit) is originated in error. You will be notified if a debit to your account occurs.

In order to change or cancel authorization on the account information listed below, you must submit a written request to CPP at 2400 Reading Road, Cincinnati, OH 45202.

Section 6

Please include with your application the following documents:

1. Signed Provider Tuition Assistance Agreement

2. Copy of ODE or ODJFS license

3. Copy of SUTQ rating certificate

4. Copies of preschool classroom teachers' credentials

5. Copy of IRS Form W-9 - Request for Taxpayer Identification Number and Certification General Liability, Worker's Compensation, and Automobile insurance 

6. Proof of completion of child abuse trainings, as mandated by ODE and ODJFS

 

 

Cincinnati Preschool Promise] 2400 Reading Rd., Cincinnati, Ohio, 45202| 513-447-4277 |info@cincy-promise.org www.cincy-promise.org 5

By signing below, Provider certifies that the information provided in this application is accurate, and that Provider agrees to the following:

- Provider has received a copy of the provider 2023-2024 Cincinnati Preschool Promise Provider Agreement

- Provider will participate in the 2023-2024 Cincinnati Preschool Promise as outlined in the Tuition Assistance Agreement

- Cincinnati Preschool Promise is permitted to post Provider's preschool program's information on websites, in its marketing material and in any other source related to Cincinnati Preschool Promise

Please submit your completed application with all required documentation to:

or you may mail your completed application with all required documentation to:

Cincinnati Preschool Promise P.O. Box 6629

Cincinnati Preschool Promise] 2400 Reading Rd., Cincinnati, Ohio, 45202|513-447-4277 |info@cincy-promise.org (www.cincy-promise.org 6