Individual Registration Form: Learning Management System (LMS) Powered by Child360

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Please complete this form to register for the LMS system provided by Child360. If your agency is paying for the courses, you must still complete this form in its entirety. You or your agency will receive an invoice (if applicable) from OCAEYC and registration instructions from Child360. Payment must be received and processed prior to access to course(s). Please allow two weeks to process.

Name: *

Email Address *

Phone Number *

Employer/Agency Name *

Type of Registration *

Individual (I am paying on my own)

Agency (My agency/employer is paying for my registration)

Using my free courses (no charge)

Today's Date: *

YYYY

OCAEYC Member *

Yes

Don't Know

OCAEYC Membership Number (if unsure, mark n/a) *

Membership Expiration Date (if unsure, leave blank)

YYYY

Membership Level *

Entry

Standard

Premium

Don't Know

How many courses do you want access to? *

3 Free Courses with Standard Membership (with eligible and verified new/renewed OCAEYC Standard membership beginning 2/7/20)

6 Free Courses with Premium Membership (with eligible and verified new or renewed OCAEYC Premium Membership as of 2/7/20))

1 course ($35)

2 courses ($70)

3 courses ($95)

4 courses ($140)

Yearly Subscription ($175) (valid for access to 11 courses for one year from start date)

Please choose which courses you would like to enroll in (# of choices must match the # of courses you are eligible for based on your choice above): *

S.T.E.A.M.: An Overview for Home and School (2 hrs)

Play to Learn: Executive Functioning Skills (2 hrs)

Every Interaction Counts (2 hrs)

Responsive Caregiving for Infants and Toddlers (2 hrs)

Developmentally Appropriate Practices (2 hrs)

Motivating the Early Educator (2 hrs)

Understanding and Leveraging Your Leadership Strengths (2 hrs)

Introduction to Cultural Competency: What is Cultural Competency? (2 hrs)

Introduction to Cultural Competency: The Components (2 hrs)

Trauma Informed Care: Supporting Young Children (2 hrs)

Autism: Creating Awareness (2 hrs)

Culturally Responsive Teaching (2 hrs)

Behavior Management Systems (2 hrs)

Classroom Management (2 hrs)

Challenging Behaviors (2 hrs)

Teaching with a Social-Emotional Lens (2 hrs)

Emergency Preparedness for Childcare Settings (2 hrs)

Emergency Preparedness for Childcare Settings (Spanish) (2 hrs)

Health and Safety Practices (2 hrs)

Required

How will you be paying? Please type in the method of payment: Credit Card, Check, Free Courses, or Employer (enter Employer Email below) *

Credit Card (3% service fee will apply)

Check

Free (accessing free courses with OCAEYC verified membership)

* Agency/Employer is Paying (Please complete employer contact information below)

Required

* Agency/Employer Contact Information (Please list Supervisor's name, email, and phone # below)

Submit

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