<p> National Child Development Associate (CDA) Scholarship Application</p><p>CDA Scholarship Programs </p><p>Scholarships are available for early childhood professionals earning their National Child Development Associate Credential (CDA) . CDA Professional Development Scholarship (up to $300 for training support) . CDA Advisor/Observation Scholarship (up to $300 for a qualified advisor) . CDA Direct Assessment Fee Scholarship ($325)</p><p>Depending on eligibility requirements, you may be able to apply for one or more of these scholarships. Contact Holly Meuers with questions about the application: [email protected], 651-290-9704 ext. 109.</p><p>Eligibility</p><p>Eligibility requirements vary depending on the scholarship(s) for which you are applying. All applicants must be employed as a licensed family child care or center provider in Minnesota and must join the Center for Professional Development Registry at http://mncpd.mncpd.org/registryapp/Default.aspx. Requirements for the CDA Professional Development Scholarship (for training support) . Have completed a minimum of 30 hours of training towards your CDA.. . Take courses through your local Child Care Aware of Minnesota agency or Eager-to-Learn online learning program. Requirements for the CDA Advisor/Observation Scholarship . Use a registered CDA Advisor at: http://mncpd.mncpd.org. </p><p>Requirements for the CDA Direct Assessment Application Fee . Have met the Council of Professional Recognition’s requirements for the direct assessment fee application. Directions Checklist</p><p>Did you include the following?</p><p> Completed CDA scholarship application  Copy of family child care or center child care license  Proof of income (copy of most recent schedule C if family child care or copy of most recent paystub if center employee)  Completed learning plan if applying for training scholarship  Completed Council for Professional Recognition direct assessment fee application if applying for assessment fee scholarship </p><p>Please return your completed original application and documents to: Child Care Aware of Minnesota Attn: Holly Meuers; 380 E Lafayette Road, Suite 103; Saint Paul, MN 55107 Applicant Information</p><p>First Name Middle Initial Last Name</p><p>Address City County State Zip Code </p><p>Home Phone ( ) Alternative Phone Number ( ) E-mail Address</p><p>MN Center for Professional Development Registry ID number ______</p><p>What ethnicity do you consider yourself? (For statistical purposes only) Black/African American White/ European American Hispanic/Latino/Latina American Indian or Alaska Native Asian/Pacific Islander Biracial/Multicultural Other ______</p><p>Scholarship Options</p><p>Scholarship(s) for which you are applying (check all that apply): □ CDA Renewal □ CDA Professional Development Scholarship (training) □ CDA Observation Scholarship □ CDA Assessment Fee</p><p>Program Information</p><p>□ Licensed family child care provider With which age group(s) do you work? (Check all that apply) □ Licensed child care center employee □ Infant □ Toddlers □ Preschool </p><p>How many hours per week do you work directly How long have you worked at your current location? with children? ___per week ___years ___ months</p><p>Does your program care for children on Child Care Assistance? County of employment ______□ Yes □ No</p><p>If no, are you willing to do so? □ Yes □ No</p><p>Education </p><p>□ High school diploma/ □ Two-year degree □ Four-year degree □ Graduate degree GED or alternative equivalent </p><p>MyStatement signature below and Signatureindicates that of I agree Applicant to the following: </p><p>. All information I have provided on this application is true and correct. . Child Care Aware of Minnesota may share my name and the fact that I received a CDA scholarship with others. ______Signature of applicant Date </p>