Non-EFS Partner Enrollment

Child Development Associate Enrollment Form (for Non-EFS partners)

I.     Eligibility Requirements:

a.   Must be 18 years of age or older

b.   Hold a high school diploma or equivalent

c.   Written & oral English proficiency

II.    Costs

a.  $875 per student (See above “The CDA certification process includes the following”)

b. The CDA application is $425 (in addition to the course). Educational First Steps can handle the application upon  your request or the educator can apply individually. If you would like to request EFS to handle the application as well, the total cost will be $1300 ($875+$425).

III.   Instructions:

a.   Complete all portions of the CDA Course Enrollment Form

b.   For questions, please contact Mia Gray  at mgray@educationalfirststeps.org

Name(required)

Email Address(required)

Home Address(required)

City(required)

State(required)

Zip(required)

Home Phone Number(required)

Daytime Phone(required)

Cell Phone(required)

Current Employment Information: Program Name(required)

Phone Number(required)

Address(required)

Title(required)

Your Current Title/Position(required)

CDA Credential Desired (Select One)(required)

Infant/Toddler Preschool Family Child Care

Would you like EFS to handle CDA Credential Application? (See cost above)(required)

Yes

NO

Which CDA Course would you like to attend?(required)

Choose One

Signature (Please Type)(required)

Date(required)

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