Nova Scotia Child Care Association

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NSCCA Membership Application Form

Please print off this form, fill it out, and send it with a cheque or money order for $30.00 to NSCCA c/o 100-1200 Tower Rd., Halifax, NS, B3H 4K6. Direct any questions or concerns to (902 ) or .

Name: ________________________________________________________________________

Mailing Address:_________________________________________________________________

Telephone (day):__________________________ Telephone (pm): __________________________

E-mail:_________________________________________________________________________

1. Early Childhood Care & Education Credentials: Attach photocopy of certificate, diploma or degree. (You may be asked for proof in the form of transcripts from each institution.)

Institution

ECCE Certificate, Degree or Diploma Program

Year Obtained/ Expected Graduation Date

 

 

 

 

 

 

 

 

 

 

2. Are you certified by the Certification Council of Early Childhood Educators of Nova Scotia?

No

Yes ~

ECE

ECCA

 

3. Are you applying for the Prior Learning Assessment and Recognition (PLAR) Process?

No

Yes, please send me the necessary forms

 

I agree with the objects of the Nova Scotia Child Care Association.

Signed:_______________________________________________________

Date:_________________________________________________________

 

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