Eligibility for T.E.A.C.H. & Rising STARS Tuition Assistance
Complete this brief form to help determine if you should apply for a T.E.A.C.H. Scholarship or for the Rising STARS Tuition Assistance Program (RSTAP). Please note that final eligibility for either program will be determined upon submission of a complete application to the appropriate agency.

First Name:  (Required)
Last Name:  (Required)
Email:  (Required)

Phone Number:  (Required)
Indicate the ECE (or equivalent) credential or degree that you are interested in pursuing:  (Required)
Choose 1
Other Degree/Credential Program:
College or University you would like to attend: (please do not use abbreviations)  (Required)
Do you work in a DHS Certified Child Care Program?  (Required)
Choose 1
If you answered "No" please indicate the type of program in which you are employed.
Choose 1
How long have you been employed with your current early childhood program?  (Required)
Hourly Wage:  (Required)
Hours Worked Per Week: (Average)  (Required)
Have you received financial assistance through T.E.A.C.H. or the Rising STARS Tuition Assistance Program in the past? (check all that apply)
Choose up to 2
T.E.A.C.H. Scholarship
Rising STARS Tuition Assistance Program
Other Questions/Comments:

Please enter the letters you see in the image above