This application is for you to apply for non-guaranteed Child Care Assistance only. If you want to apply for other state benefits, including.ATTENTION: This application is used to apply ONLY for Category 2 or 3 Child Care Assistance. (3) Child care can only be provided in the areas that have been included in the diagram and approved as child care space. General Forms ; GF-45a. If a child resides in two separate households with their custodial parents, SCOPE will require that each parent complete their own emergency pick-up form. In the event that a Medical Withdrawal is granted, the Associate Dean shall: a. Complete the class withdrawal process for the student (i.e. I can't always provide adequate housing, clothing or food for my children. This is not a crime!