Child Development Associate (CDA) Application/Renewal Award

To translate the form into Spanish or another language (Para traducir el formulario al español u otro idioma):

Open the form using Google Chrome web browser. Download Chrome here. (Abra el formulario con el navegador web Google Chrome. Descarga Chrome aquí.)
Anywhere on this form, right click and you will see a drop-down menu. (En cualquier lugar de este formulario, haga clic con el botón derecho y verá un menú desplegable.)
Select “Translate to …” (Selecciona "Traducir a ...".)
Choose the language you would like it to be translated to. (Elija el idioma al que le gustaría que se tradujera.)
Repeat steps 2-4 on each new form page. (Repita los pasos 2 a 4 en cada nueva página de formulario.)

VERIFICATION FORM

July 1 - June 30

Alaska SEED is pleased to support your professional development!

Follow the guidelines and submit your application to receive reimbursement for your Child Development Associate (CDA) Certification application or renewal - up to $500 until June 30!

Funding is on a first come, first serve basis.CDA reimbursement funds will be reduced by the amount of other scholarships and/or financial aid you have already received.

Eligibility Criteria

My membership in the Alaska SEED Registry is current/active.
My CDA application/renewal fee has NOT been fully covered by other financial aid.
I am an early childhood or school-age professional operating or working as a paid employee of a licensed or approved child care facility.

Licensed Definition: Licensed Child Care Provider, who is licensed by the State of Alaska, Child Care Program Office (CCPO) or the Municipality of Anchorage, Child Care Licensing (CCL).

Approved Definition: Approved Provider, who is approved by the State of Alaska, Child Care Program Office (CCPO) Child Care Assistance (CCA) Program as an Approved Relative Provider, or am Approved in-Home Provider.

To confirm a child care facility is licensed by CCPO or CCL, please use the “Find a Child Care Provider” at State of Alaska.

Guidelines for Reimbursement

Pursuing or renewing your CDA? Follow these guidelines to receive up to $500 for one CDA application or renewal fee, pre-paid directly to the Council for Professional Recognition, or as a 100% reimbursement application.

Allowable Reimbursement Amount

CDA Application

Up to $425 online fee
Up to $500 paper application via U.S. mail

CDA Renewal

Up to $125 online fee
Up to $150 paper application via U.S. mail

Required Documentation (Electronic, scan, photocopy accepted)

For reimbursement: Proof of payment (receipt, credit card/bank statement, canceled check, etc.).
- Must include name of payer, amount paid, payment date, and item(s) purchased.
For Direct Payment to the Council for Professional Recognition: 7-Digit Customer ID Number issued by the Council for Professional Recognition.

Deadlines

Application and required documentation, if applicable, must be submitted within 60 business days of the payment of the CDA application fee for reimbursement.

Payment Policies

Reimbursement will be made within 45 business days from the completed application receipt date. CDA award applications are processed in the order they are received while funding is available. Reimbursements will be reduced by the number of other scholarships and/or financial aid already received.
A $33 stop payment fee will be deducted when a replacement check must be issued for lost or misplaced checks or checks that are undeliverable when an incorrect mailing address is supplied.

Applicant Information

First Name:

Last Name:

Email:

Phone:

Current Alaska SEED Member?

YesNo

I am applying for:

Infant-Toddler CDAPreschool CDAFamily Child Care CDAHome Visitor CDA

Applicant Facility Information

Name of Licensed/Approved Child Care Facility

Administrator Name:

Type of Licensed/Approved Child Care Facility

CenterGroup HomeHome

Reimbursement Information

CDA Fee Type:

New Application FeeRenewal Fee

Amount Requested:

Payment Type:

Payment of fee directly to the Council for Professional Recognition.Reimbursement for the application/renewal fee that I have already paid.

My 7-digit Customer ID Number Issued by the Council for Professional Recognition:

Please upload proof of payment of your CDA application/renewal fee (receipt, copy of cancelled check, credit card or bank statement, etc.) that includes your name and date of payment.

Upload multiple documents by clicking Add More Files in the upload window.

Reimburse/Make Check Payable To:

Programs paying with a business credit card with an employee's name on the card will be paid to the program, not the individual.

Mailing Address:

City:

Zip Code:

Please enter a 5-digit zip code.

Agreements

I agree to the following:

I have reviewed and met all eligibility requirements and guidelines.For an application reimbursement only, my receipt(s) or proof of payment with my name, amount paid, and date of payment is uploaded. My fee was paid within the past 60 business days, effective October 1, 2021. Proof of earning the CDA Credential is NOT required with this application.Stop Payment Policy: If your check is lost due to an incorrect address, a $32 stop payment fee will be deducted from your replacement check.

Signature

By submitting and signing this application:

I certify that the information on this application is true and accurate to the best of my knowledge.

Signature

Type your name to sign.

Date