EECI Apprenticeship Admissions Application

Early Education Career Institute

1001 Washington St. Columbia SC 29201

www.earlyeducationcareerinstitute.org

833-497-9997
Early Childhood Educator Apprenticeship Scholarship Form

Enter your scholarship information below
Join us in shaping the future of early education!

At the Early Education Career Institute (EECI), we are dedicated to providing aspiring and new childcare workers with the support they need to succeed in their careers. We understand the importance of ongoing education and professional development in the childcare industry, which is why we offer limited scholarships to help individuals maintain employment while furthering their skills.

Our Hero scholarships provide recipients with:
- a one-time course opportunity to enhance your knowledge and expertise.
- the opportunity to choose to attend a live virtual online course or a face-to-face course with 3 or more enrolled students, our scholarships aim to make education accessible and convenient for all.
To be considered for a scholarship, we ask that you complete a short scholarship application below along with the standard enrollment application.

By receiving a scholarship from EECI, you agree to:
- complete assignments in a timely manner
- attend courses as assigned
- communicate any barriers to completion.
- report and send a picture when you have received your credentials
At EECI, we recognize the valuable contribution that childcare workers make to the industry workforce, and we are committed to supporting your professional growth and advancement. Join us in shaping the future of early education and unlock new opportunities for your career with EECI scholarships.
Name

First NameMiddle InitialLast Name
Last 4 of Social Security Number
Birth Date

MonthDayYear
Gender

MaleFemale
Of which country are you a citizen?
Phone
E-mail Address
example@example.com
Mailing Address

Street Address

Street Address Line 2

CityState

Zip Code
Emergency Contact

First NameLast Name
Relationship
Email
example@example.com
Phone Number
Please enter a valid phone number.
Do you speak any languages other than English?

YesNo
Please list them

Education
High School or Equivalent Name
Graduation Date

MonthDayYear
Date
School Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
CPR/First

MonthDayYear
Renewal Date
CDA or Credential

MonthDayYear
Renewal Date
Employment Information

Employment Is An Apprenticeship Criteria
Are you currently employed in a childcare center (family or center based)

YesNo
If yes, where are you currently employed?
Name of childcare center
If no, please provide a childcare center or family provider in your community currently hiring?
Name of childcare center
If no, are you seeking this program to become an owner or new family childcare provider?

Course Fee

Financial Aid Must Be Cleared Prior To Attending A Course
Please Confirm You Do Not Qualify For the Following:

State Grant (ITA)ETPLEmployer SponsorIndiana Workforce Readiness GrantVeteransGI Bill
Early Childhood Educator Occupation Course:
- Leads directly into Registered Apprenticeship in Early Childhood Educator occupation, currently a high demand labor occupations.
- Has Related Instruction which carries up to 21 College Credits
- Requires apprenticship entry prior to course enrollment for funding consideration
- Must be employed or seeking gainful employment in Early Childcare Industry (family childcare acceptable)
Equal Opportunity Employment Pledge: Early Education Career Institute will not discriminate against apprenticeship applicants or apprentices based on RACE,COLOR, RELIGION, NATIONAL ORIGIN, SEX (INCLUDING PREGNANCY AND GENDER IDENTITY), SEXUAL ORIENTATION, GENETIC INFORMATION, OR BECAUSE THEY ARE AN INDIVIDUAL WITH A DISABILITY OR A PERSON 40 YEARS OLD OR OLDER. Early Education Career Institute will take affirmative action to provide equal opportunities in apprenticeship and will operate the apprenticeship program as required under Title 29 of the Code of Federal Regulations, part 30.
How would this scholarship help you in your early education career?
Should be Empty:

Early Childhood Educator Apprenticeship Scholarship Form

Education

Employment Information

Course Fee