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Early Learning and Childcare 2 Year Olds Application Form

Parent/Carer/Guardian Details            
Contact details of Employer or Training provider (if applicable)
Childs Details      
Birth Certificate Number Details      
Other Agency Details        
Early Learning and Childcare Provider Choice

Please indicate below your choice of Local Authority Nursery or Funded Provider from the list attached.

It may not always be possible to offer an Early Learning and Childcare place with the provider of your choice, therefore please indicate a 2nd choice.


Funded Provider Nurseries and Childcare

Some Funded Provider Nurseries and Funded Provider Childminders & are also able to provide Eligible 2 places.

Help paying for childcare in Scotland - mygov.scot

Please indicate the Funded Provision you may be interested in using and availability will be explored within your area. A place will be confirmed if they are able to provide one.

Note: Additional provisions may become available at a future date

Most providers offer a choice of attendance patterns. Please indicate below if you have a preference of days or times subject to availability.

Income Details

You must supply up to date evidence that you are receiving one or more of the following Benefits

You MUST provide a copy of your qualifying benefit letter or Tax Credit Award Letter

OR provide screenshots of your Universal Credit entitlement “what you’re entitled to” and “what we take off (deductions)”

OR provide original evidence of fostering, kinship care or guardianship

Please select the appropriate documentation which will be submitted to support the income details which are relevant to each of your parent(s)/carer(s) for the financial year 6 April 2019 to 5 April 2020

Please select all that apply

Please attach proof of your benefits

These should be uploaded as a:

  • pdf
  • jpeg
  • png

Please use portait format and make sure all the text can be clearly read. Documents of more than 1 page should be scanned as 1 file (e.g. Tax Credit Award Notices).

Please ensure that your document size is less than 4mb

If you household is in receipt of Universal Credit please upload your full, and most recent, Universal Credit Statement, showing your monthly payment and the breakdown of how this monthly payment has been calculated.


It is important that the information you give on this application form is as full and accurate as possible. This will help us when considering the allocation of places.

All of the information you give will be treated as strictly confidential. Information you give may be stored on computer.

If your circumstances change, or there are any changes to the information you give at the time of applying, it is very important that you inform North Ayrshire Council in order that they have up to date details when allocating places.

If you have any questions about the admissions process for two-year olds you should contact: Early Learning & Childcare Team, Education Service – Communities Directorate, Cunninghame House, Irvine KA12 8EE: earlylearningchildcare@north-ayrshire.gov.uk, or (01294) 324942

I confirm that to the best of my knowledge, all of the information provided by me on this application form is accurate.

I agree that funding is applied for and guarantee this child is not receiving funding elsewhere.

I am also aware that North Ayrshire Council will carry out checks to ensure that public funds/resources are correctly allocated/awarded.


Registration for Early Learning and Childcare 2 year old is closed at the moment

Once you have completed the form press Submit. Please do not press this button more than once.