4C Scholarship Interest Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

COME EARN YOUR CREDENTIAL WITH US! PARTICIPATE IN 4C FREE SCHOLARSHIP PROGRAM!

The 40 HR DCF certificate & CDA credential scholarship program will help those who are seeking to gain access to the Early Childhood profession. 4C is offering those who are interested in obtaining their 40 hours through DCF to be eligible to work in a licensed childcare center.

Those who have their 40 hours DCF credential are being offered to obtain their professional CDA license.
To qualify for the scholarship, you must meet the low-income criteria or COVID- 19 impacts.

PLEASE FILL OUT FORM BELOW

First Name and Last Name

Email Address

Please state your current living condition for eligibility (Homeless, Temporary Housing, Stable Conditions, etc.) :

Do you receive public assistance (SSI, TANF, SNAP, WIC, etc.)?

Yes

Clear selection

Have you been impacted by COVID- 19 during and/or currently? Check All that Apply

Tested Positive for COVID (You, Spouse, and/or children)

Loss of Income

Children's school closures

Business Closed

Employment Loss

Option 6

Do you have your 40 Hours DCF Credential?

Yes

Clear selection

Do you have your CDA?

Yes

Clear selection

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms