A primary telephone number is required in case of need for additional information, clarification, or follow-up. Please enter at least one correct, active telephone number below.
Enter a name, telephone number, and email address for a contact person at the college/university of this scholarship request.
NOTE: Fund amounts requested above should be as accurate as possible at the time of submission of this application. Should an amended request be necessary due to chanes in tuition costs, book costs, or course cancellation/substitution, contact Theresa Patterson at the Alabama Department of Early Childhood Education (Theresa.Patterson@ece.alabama.gov or 353-2717) for an authorization code. This authorization code may only be assigned by the Alabama Department of Early Childhood Education.
Scholarship funding rules and regulations include the condition that the recipient must repay the awarded funds :
"My e-signature below indicates my understanding of and agreement with the conditions described for scholarship recipients. The information I have provided is accurate to the best of my knowledge."