North Carolina Education And Equivalency Form For Child Care Lead Teachers (Page 2 of 2) in pdf

INSTRUCTIONS

North Carolina Education and Equivalency Form For Child Care Lead Teachers

Purpose:

The North Carolina Education and Equivalency Form For Child Care Lead Teachers is used for documenting Lead Teacher qualifications and for making an

application for the equivalency options. All Lead Teachers are required to submit this completed form plus attachments to the Division of Child Development** no

later than six months after the date of hire in the Lead Teacher position.

General Instructions:

The form should be completed accurately, legibly, and in ink. It should be completed and signed by the applicant. This form must be reviewed for accuracy and

signed by the facility’s legal operator or his/her designee. A copy of this form and all attachments (if applicable) must be maintained in the Lead Teacher’s file at

the facility for review by representatives of the Division of Child Development. Please feel free to staple any additional comments or questions you have to the

front of the form so our staff can respond to you quickly.

Specific Instructions:

A) All applicants must complete Section A. Please do not abbreviate street names, cities or counties, and include the

applicant’s maiden name (if applicable).

B) All applicants must complete Section B. For facility license #, enter the license number of the facility in the space

provided. The license # can be found on the facility’s license and on documentation forms completed during visits by

your Division of Child Development representatives. For date of employment, enter the month, day, and year that the

applicant assumed lead teacher duties at this facility (if applicable).

C) All applicants must complete Section C. Check ALL spaces which indicate completed certificates, diplomas, and/or

degrees earned as of the date the form is submitted to the Division. Official transcripts (not photocopies, student copies

or grade reports) must be attached for ALL completed college coursework, certificates, diplomas and/or degrees. Please

do not attach copies of inservice training hour slips; these are not considered college coursework.

D) Only complete Section D if you have earned the N.C. Early Childhood Credential (NCECC) or are currently enrolled in

NCECC coursework or plan to enroll in NCECC coursework. Check ALL blank lines that apply to your NCECC coursework

history. Skip Section E and complete Section F. (Include official proof of registration if you are currently enrolled or

registered for the NCECC coursework, and make copies for your files.)

E) Only complete Section E if you have not completed the NCECC coursework and are requesting assessment for one of the

equivalency options. Only one equivalency option under Section E should be checked.

F) All applicants must complete Section F. This form must be signed and dated by both the individual applicant and the

child care facility’s legal operator or his/her designee (if applicable).

Each applicant will be notified in writing from the Division of their lead teacher status. New letters are not issued if applicants change

name, address or facility.

This form only needs to be completed and submitted to the Division of Child Development** ONCE.

Changes in any of the applicant or facility information should be submitted on a DCD.0120 Change of Information

form, NOT a new DCD.0013 Lead Teacher form.

Attach official transcripts (not photocopies, student copies or grade reports) for ALL completed college coursework, certificates, diplomas and/or

degrees. For all coursework over 10 years old to be eligible for the NCECC equivalency, it must be from a completed certificate, diploma and/or

degree, or you must be currently enrolled in a degree program (attach proof).

High School Diplomas do not need to be submitted, unless specifically requested by the Division.

**Mail to:

Workforce Education Unit

Division of Child Development

2201 Mail Service Center

Raleigh, NC 27699-2201

Questions:

Please call the Workforce Education Unit at 1-800-859-0829, or your Division of Child Development representative.

Division of Child Development Rev. 6/04

Page 2 of 2

DCD.0113

North Carolina Education And Equivalency Form For Child Care Lead Teachers Page 2

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