CCIP Interest Form

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CCIP Interest Form

If you are interested in joining a Child Care Initiative Project (CCIP) training cohort to learn more about opening/applying for a family childcare home license, submit your contact information by completing this interest form.

If you have questions about this form, contact childcarescc@sccoe.org or call 669-212-5437.

Email *

Last Name *

Phone Number *

City (where you live) *

Zip Code *

Currently, I am... *

A licensed family childcare home provider

Licensed family child home assistant/Aide or Volunteer

Family, friend, neighbor (FFN) caregiver/license exempt caregiver

Childcare center (preschool, infant, school-age) teacher/aide/assistant/staff

In the process or interested in applying for a family childcare home license

Other:

Have you completed the CDSS licensing orientation for family childcare homes? *

Yes

I don't know

Have you started, but not submitted, the licensing application? Mark "No" if you have already submitted the application. *

Yes

Have you completed and submitted, the licensing application? Mark "No" if you have not completed the application. *

Yes

Submit

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