ECDC Tuition Scholarship Application – Early Childhood Development Center

ECDC Scholarship Application

Child's Name

First Last

Date of Birth

Parent's Name

First Last

Address

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

Phone

PLEASE CHECK DESIRED EXTENT OF SCHOLARSHIP:

FALL SEMESTER

SPRING SEMESTER

MAYMESTER (IF FUNDING IS AVAILABLE)

SUMMER I (IF FUNDING IS AVAILABLE)

Please attach supporting documentation for proof of annual income with a copy of most recent income tax return.

Max. file size: 1 MB.

Signature(Required)

Date