Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Participant's Name *FirstLastPhone *Age *Email *Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip Code Phone or Under usual circumstances scholarships are granted for approximately 75% of tuition. Aid is determined by availability of funds. CCDS Work Scholarships are funded in part by the CCDS Scholarship Fund, all scholarship recipients are expected to aid in the running of the school by helping with various jobs that need to be done before, during, and at the end of the week. Most require 12 hours of work during the week. All scholarship recipients are expected to help with clean up on January 1. 1. Indicate all areas you would like to help. *Early set up before ChristmasSet up on 12/26CustodialOffice AssistantRefreshmentsDecorationsOther5. Are you a full-time student? *YesNoIf you selected other, how would you like to help? *If yes, where? *2. Could you attend Christmas School without this aid? *YesNo6. Are you a employed/self-employed? *YesNo3. How much total aid do you need? *If yes, where? *4. Have you ever received a CCDS Scholarship before? *YesNo7. Please list dance, music, or school groups in which you actively participate. * Visual Code (Include your position, if any, as a leader, musician, singer, or teacher). If none yet, type none.Signature of Scholarship Applicant * Clear Signature Submitting online?: Submit this scholarship application after completing the registration form and submitting deposit of $100. Need to print and mail? Send scholarship application with registration form and deposit of $100. Mail to: Berea CCDS - 317 Christmas Ridge Rd, Berea, KY 40403 Submit