Teacher Tom Series Scholarship

* The applicant must be a paid staff member in an Indiana licensed child care center, licensed child care home, or registered ministry. * Applicant’s licensed child care center, licensed child care home or registered ministry must be in good-standing and legally operating in the state of Indiana. * Applicant must reside in Indiana. * Scholarships are not transferable and must be used by the intended recipient only. *Applications are accepted online only. Incomplete applications will not be considered. * Applications must be received by 5:00 p.m. Wednesday, April 7, 2021.

Name*

First Last

Phone*

Email*

Business / Employer Name*

Child Care Program License / Registration #*

Business / Employer Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

County*

Auspice*

Scholarship Request

Please make selection of which series you wish to attend.

Teacher Tom Session 3*

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April 20th Session 3: Risky Play

Indiana AEYC Membership Status

Statement of Commitment to attend Professional Development Training

I am applying for a 2021 Indiana Early Childhood Professional Development series through the Indiana Association for the Education of Young Children, Inc. I understand that in the event I receive a scholarship, I will commit to attend and participate in 2.5 hours of professional development training for each session. Funds supporting this scholarship have been provided by the Indiana Family and Social Services Administration, Office of Early Childhood and Out of School Learning through the Child Care Development Block Grant. By submitting this application I am committing to attend the 2021 Indiana Early Childhood Professional Development Series.

2021 Professional Development Series Scholarship Application

Scholarship Request

Statement of Commitment to attend Professional Development Training