FCCAM Student Membership Application - Class B
FCCAM welcomes all of students attending a technology high school in Maine or matriculated in an Early Childhood Education program and not working more than part-time within a family child care program.We invite you to join us in our goal of the achieving the highest standards in Maine’s diverse legal family child care homes promoting the physical, intellectual, emotional, and social development of the children in our care.
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Today's Date *
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Name (First, Last) *
Email *
Program of Study *
School Attending *
Expected Date of Graduation *
College Advisor’s/ Votech ECE Instructor’s Name *
College Advisor’s/ Votech ECE Instructor’s E-Mail *
Mailing Address *
City/Town/Zip Code *
Primary Phone (include area code) *
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What age groups are you interested in working with?
Are you a member of another child care association? Please list below
Class B Membership Fee (annual)
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If you were provided a Discount Code for a Class B student membership, please provide it below
Payment *
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