Accreditation Form

We're excited that you're interested in this opportunity to elevate quality and demonstrate your commitment to excellence in family child care. Please complete the brief questions below to join our waitlist. We’ll keep you updated on the next available opportunities and support options as they become available.

Tell Us About Your Program

Educator Name

Program Name

Address

City

County

Zip Code

Phone Number

Email Address

License Number

How many years have you been providing child care?

0-2 Years3-5 Years6-10 Years11-15 Years16+ Years

Current Program enrollment

Number of Infants (0-12 months)

Number of Toddlers (12-36 months)

Number of Preschool (3-5 years)

Number of School Age (6+ years)

What programs are you currently participating in, or have you participated in in the past? (Select all that apply)

Links to Quality LEND The Child Development Associate (CDA) ITSN Coaching None

Do you accept Department of Children and Families (DCF) Subsidy payments?

YesNoInterested

What is your current understanding of accreditation? Do you know anyone who has completed the accreditation process? If so, feel free to share their experience

Are you familiar with NAFCC (National Association for Family Child Care)?

YesNoSomewhat

Please explain Here

Acknowledgment

I understand that by submitting this form, I will be added to the waitlist for the accreditation program.

Contact Information