Staffed Family Child Care Network (SFCCN) Membership and Accreditation Fee Waiver for National Association Of Family Child Care (NAFCC) Provider members of the following Family Child Care Networks may use this form to request NAFCC fees be paid (waived) by the Staffed Family Child Care Network Hub. Only one request per form. Eligible Family Child Care Networks are: Region 1 TEAM, Inc, Region 2 City of Hartford, Region 3 CTAEYC, Region 4 CTAEYC, Region 5 CTAEYC and Region 6 CTAEYC. Do not use this form to apply for reimbursement. You must contact 211 Child Care at 1-800-505-1000 or email SFCCN@ctunitedway.org for reimbursement of fees you already paid to NAFCC.License Number Name First Last Email Enter Email Confirm Email Address Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhoneI am a Family Child Care Home Group Child Care Home An OEC approved Assistant/Substitute I am applying for(Required)Annual Membership FeeSelf-Study Enrollment KitAccreditation Application18-Month UpdateRe-AccreditationI am New to joining NAFCC membership Renewing membership Any provider seeking to deepen their understanding of quality family child care can begin the Self-Study phase. This process is a self-paced stage of reflection. It gives providers the opportunity to assess whether their practices are already in line with NAFCC Quality Standards, and how they can work to achieve this status.Self-study is a two-part process – mastering the standards and collecting information to document that you are meeting eligibility requirements. The self-study kit is designed to provide the tools you will need to be successful in self-study and in achieving NAFCC Accreditation. The Kit includes; Provider Guide to Achieving NAFCC Accreditation, Quality Standards for NAFCC Accreditation, NAFCC Benchmarks to Quality, Parent Guide to NAFCC Accreditation, and NAEYC Code of Ethical ConductAttestation Statement(Required) I understand the NAFCC quality standards towards accreditation.Attestation Statement(Required) I am seeking to deepen my understanding of quality family child care.Attestation Statement(Required) I am willing to work to achieve NAFCC accreditation by participating in self-study for the next six (6) months.Accreditation is awarded for family child care providers who meet the eligibility requirements and the Quality Standards for NAFCC Accreditation. You cannot apply for accreditation if you have NOT completed SELF STUDY. You must have completed the self study process before you submit your application for accreditation. By submitting this application you are demonstrating your commitment to complete the accreditation process. You believe that you meet all the eligibility criteria, have completed the application requirements, are meeting the Quality Standards, and have planned when you will be able to have an observation visit.Date you completed Self Study(Required) You cannot apply for fee waiver for accreditation if you have not completed SELF STUDY.Attestation Statement(Required) I believe I meet all the eligibility criteria to submit my application for accreditation. Attestation Statement(Required) I am meeting NAFCC Quality Standards Attestation Statement(Required) I have planned for when I will be able to have an observation visit Attestation Statement(Required) I have at least 12 months experience as a family child care provider The 18-month update is for NAFCC accredited providers. the 18-month update is required to maintain your accreditation. You must submit an 18-month update application. The 18-month update allows you to assess yourself and your program for compliance with the NAFCC Quality Standards for NAFCC Accreditation.Attestation Statement(Required) I certify that I continue to meet the Quality Standards for NAFCC Accreditation Attestation Statement(Required) I certify that I meet all accreditation eligibility requirements Attestation Statement(Required) My 18 month update is due NAFCC Accreditation Date(Required) Re-Accreditation is awarded for family child care providers who meet the eligibility requirements and the Quality Standards for NAFCC Accreditation. Family child care providers achieve this high level of quality through a process that examines all aspects of the family child care program, i.e. relationships, the environment, developmental learning activities, safety, health, and professional and business practices.Attestation Statement(Required) I believe I meet all the eligibility criteria to submit my application for re-accreditation Attestation Statement(Required) I am meeting NAFCC Quality Standards Current NAFCC Accreditation Expiration Date(Required) Date You Submitted 18 Month Update(Required) Spoken language preference:EnglishSpanishWritten language preference:EnglishSpanishI am Caucasian/White African American/Black Hispanic/Latina American Indian/Alaska Native Asian/Pacific Islander I prefer to not answer Other My age is 18-29 30-39 40-49 50-59 60+ I prefer to not answer Highest Level of Education GED High School Diploma Some College Trade School Associates Degree Bachelor’s Degree Masters Degree or Higher I prefer to not answer Credentials you have obtained CDA NAFCC Accreditation Other Do you have any questions or comments? Upon submission, the SFCCN Hub will review your eligibility. If you applied for NAFCC membership, you will receive your NAFCC membership card (via email) directly from NAFCC. If you applied for accreditation fees to be waived, you will receive a letter from the SFCCN Hub to notify you that accreditation fees will be paid.