Application Cover Sheet s1

TO: Licensed Child Care Centers and Family Child Care Homes

that have earned 5 or more Education Points

FROM: NC Institute for Early Childhood Professional Development

Child Care Services Association

The North Carolina Institute for Early Childhood Professional Development and Child Care Services Association are proud to announce the availability of cash and recognition awards to exemplary early care and education programs that value and recognize the importance of teacher education. Three-, four- and five-star child care programs that have earned 5 or more education points on their rated license on or before December 31st 2006 are eligible and invited to apply this year.

Awards may be issued in cash amounts of up to $6,000 (amount is determined by program size) and can be used to:

· Help off-set the financial costs associated with participation and/or sponsorship in teacher education.

· Provide an incentive or bonus reward for staff that has completed coursework in early childhood education.

· Support the costs associated with other professional development opportunities.

To be considered for an award your program must:

· Complete all required (3) sections of the application included in this mailing. If your program has multiple sites, a separate application must be submitted for each licensed facility.

· Mail your application to Child Care Services Association, PO Box 901, Chapel Hill, NC 27514. Mailed applications must be post marked by Wednesday, April 25, 2007. If you choose to hand deliver your application, please deliver it to 1829 East Franklin Street, Building 1000, Chapel Hill, NC 27514 no later than 5:00 p.m. on Wednesday, April 25, 2007.

The awards will be presented on Friday evening June 22nd at the Durham Marriott, Durham, NC and the winners will be notified by Friday, May 25th. Assistance with travel, lodging and dinner costs will be available to award winners.

If you would like to complete the application on line, you can download it from the Division of Child Development’s web site in Word or PDF format at www.ncchildcare.net. Click on What’s New, scroll down and choose the title: 2007 Professional Development Award.

If you should need assistance preparing your application or accessing the web site, contact your local child care resource and referral agency, your nearest Smart Start partnership office, the early childhood program at your local community college or the family/consumer sciences agency at your county Cooperative Extension office. **Please Note: Applications cannot be accepted electronically.

Awards - 2007 Applicat-DL revisions-2.rtf.rtf

2007 APPLICATION
FOR AN EARLY CHILDHOOD
PROFESSIONAL DEVELOPMENT AWARD
For Licensed

Child Care Centers and Family Child Care Homes

Instructions: Please complete and submit ALL of the following:
PART 1: Early Childhood Program Application Cover Sheet (This Page)
PART 2: Narrative Description
PART 3: Signed Acknowledgement Statement
PART 4: Professional Development Profile
Please include three (3) collated, typed and stapled application packets (one original and two copies). Applications that are faxed, emailed or enclosed in a folder or binder will NOT be accepted.

Applications which do not meet these requirements will be immediately disqualified.

Part 1: Early Childhood Cover Sheet

Program Name:

Tax ID # or SSN:

Facility ID #:

County:

Address:

City:

State: NC

/ Zip:

Telephone #:

Fax #:

Email Address:

Type of Program: / Child Care Center Family Child Care Home
Contact Person/Site Administrator:

What was your star rating as of 12/31/06? 3 4 5

Did you earn 5 or more points in the education component of your star rating as of 12/31/06? yes no

Did you offer Health Insurance Benefits to your employees on or before January 1, 2006? yes no

If no, are you currently offering Health Insurance to your employees? yes no
Please list 2 references who would be willing to participate in a phone interview. These references should be knowledgeable about your program and your participation in professional development activities. Center applicants should submit 1 parent and 1 teacher reference using the boxes below. Family Child Care Home applicants may submit 2 parent references using the boxes below and substituting the child’s name for the date of employment and the parent name for teacher.

Parent Reference (Parent must have had a child enrolled between 1/1/06 through 12/31/06):

Parent Name:

Name of Child:

Telephone

Number(s):

/ /

daytime

evening

Teacher Reference (Teacher must have been employed in your program from 1/1/06 until now.

Teacher Name:

Date of employment

Telephone

Number(s):

/ /

daytime

evening

Please fill in the number of children currently enrolled in your program for each age range:

Age

Infants/Toddlers

2 Year Olds

3-5 Year Olds

School Age

Total # of children

Number Enrolled

/ / / / /
Please fill in the number of teachers currently employed in your program for each age range:

Age

Infants/Toddlers

2 Year Olds

3-5 Year Olds

School Age

Total # of Teachers

Number of Teachers

/ / / / /

Child Care Services Association

PO Box 901
Chapel Hill, NC 27514

1829 East Franklin Street, Building 1000, Chapel Hill, NC 27514 (street address)

Part 2: Narrative Description

Please provide detailed and accurate responses to the four questions listed below.

a. limit your response to 250 words for each question and,

b. use separate paper to type questions and answers.

1. Describe how you plan to maintain and continue your high level of commitment to you and your staff education in the future?
2. Describe ways in which your program and/or staff have participated in early childhood leadership? (Examples might include: hosting early childhood students for their work (co-op) experience, delivering workshop presentations, participation in leadership courses and local child advocacy activities).
3. Describe how you provide incentives, rewards or compensation for staff that are pursuing or have attained formal education?
4. If your program receives an award, how would you use the funding to support the professional development of your staff and improve compensation efforts of your program?

PART 3: Acknowledgement Statement

Acknowledgement Statement

The child care program has been and is currently in good standing with state licensing child care regulations. In addition, the program was and is currently compliant with federal and state wage and hour laws.

All of the information in this application is accurate and has been completed to the best of my knowledge.
Name & Title of Authorized Administrator / Date
Signature of Authorized Administrator / Date

Awards - 2007 Applicat-DL revisions-2.rtf.rtf

Part 4 Professional Development Profile for Licensed Child Care Centers and Family Child Care Homes

Name Of Program:

/ /

Facility

ID #:

/
Please complete the chart below listing each staff member in your program (if applicable). Follow the 2 examples given below. Duplicate this form as many times as necessary to list all teaching staff in your program.
Teacher / What is the Highest Degree Earned Beyond High School and Date Completed? / What Subject was the Degree In? / What supports, financial and otherwise, listed below did you provide your teachers for their professional development during 2006? Check the appropriate box for each teacher on your staff. (For instance for teacher A you might have a total of 2 points because s/he is not currently in school. For teacher B you might have a total of 5 points because s/he is taking classes.)
Paid breaks / Paid planning time / Paid time off for classes / Paid travel to and from classes / Child care costs / Flexible schedule / Computer use and textbooks / T.E.A.C.H.® scholarship / WAGE$ or other salary supplement / Raise or bonus / Total
1-CG / BS
2001 / Child Dev. / / / 2
2-SC / AAS
2002 / Early Childhood Education / 5
1-
2-
3-
4-
5-
6-
7-
8-
9-
10-

Awards - 2007 Applicat-DL revisions-2.rtf.rtf