DOE CDA Project for Family Child Care Providers

In partnership with the
New York City Department of Education

Dear Family Child Care Provider,

The DOE DECE is excited to share a new partnership with the NY Early Childhood Professional Development Institute. The Institute’s Career Center staff will meet with you to assist you in your study plan goals and supporting you in your journey to CDA completion.

We appreciate you taking time to complete this brief survey below so we can understand your needs and provide the best service and guidance. Thank you for all that you do for the children and families in New York City. The Institute Career Team is honored to collaborate with you.

Warmest Regards,
The NYC Early Childhood Career Development Center Team

Personal / Contact

First Name:

Last Name:

Email:

Phone:

Work County: What county do you primarily / usually work in? If unemployed, what county do you live in?

Aspire Registry ID: What is this?

I do not have an Aspire Registry ID. I am aware that I am now required to have an ASPIRE Account/ID since I am affiliated with a DOE-contracted FCC Network

Address:

City / State / Zip :

Employer Information

FCC Network:

OCFS License Number:

Advisor Language

If we can provide an advisor in your preferred language, what is your language preference:

Advisor Langauge:

High School Diploma

Please fill out the following information about your High School education.

Diploma / GED:

Without a completed high school diploma or GED you are not eligible to complete your CDA credential. Please complete and submit the application, and set up a call with us. We will discuss possible next steps as the focus of our first scheduled meeting.

Grad. Year: Enter four-digit year YYYY

School Location:

Diploma/transcript have been translated and evaluated
Diploma/transcript have been translated but not evaluated
Diploma/transcript have not been translated or evaluated

Translation/Evaluation Service:

Other Degrees

If you have any other degrees, please indicate below.

Associate's Degree:

Type:

College System:

Institution Name:

Campus:

Major:

Bachelor's Degree:

Type:

College System:

Institution Name:

Campus:

Major:

Master's Degree:

Type:

College System:

Institution Name:

Campus:

Major:

CDA information

Please indicate whether you have completed some or all of your CDA requirements.

CDA Status:

CDA Designation

Will you specialize as a Bilingual CDA Specialist? If yes, please indicate the language below. If not, please select "Not Applicable."

Select Language:

Training Agency: What is the name of the CDA training agency you attended?

Training Hours: How many training hours have you completed?

Competencies:

What competencies have you completed?

Competency I
Competency II
Competency III
Competency IV
Competency V
Competency VI

How many hours of the 480 field hours in your intended designation have you completed?

NOTE:

Infant/Toddler designee must complete 480 hours in a center based infant AND toddler classroom
Preschool designee must complete 480 hours in a center based program covering all ages 3s, 4s, AND, 5s
Family/Group Family designee must completed 480 hours in a family/group family setting
Bilingual Specialists - ALL 480 hours MUST be in a Bilingual setting

Field Hours:

Do you own the Age Designated Competency Book for your exams? (See examples below)

Have you completed your portfolio?

Did you complete the family surveys?

have your submitted your Credential application?

have you scheduled your exam?

have you scheduled your verification visit?

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