Preschool of Excellence Certification Application

Preschool of Excellence Certification Application

Noonday Baptist Association
Name of school:
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact name:

First NameLast Name
Contact's title:
School's phone number:
Please enter a valid phone number.
Contact's cell number:
Please enter a valid phone number.
Contact's email:
example@example.com
Is school state licensed?

YesNo
If yes, expiration date of license:

MonthDayYear
Date
If no, is school exempt from license?

YesNo
If yes, date of letter:

MonthDayYear
Date
Other accreditation:
Mission statement of preschool:
How many students are enrolled in the school?
I, First Name Last Name , understand that I am submitting an application for certification as a "Preschool of Excellence" for Preschool. I agree to submit payment of $1.00 per student enrolled at time of application (minimum $25.00). You can provide this payment either by mailing a check to 1348 Canton Rd NE, Marietta, 30066. Or, if providing online payment is more convenient, please access our website at https://noondaynet.org/ and click the red Donate button in the upper right corner of the page. From there, you can choose Preschool of Excellence from the dropdown options and submit payment information. I understand that the application fee is nonrefundable, and that certification is not guaranteed and will be determined on a Pass/Fail basis by those representing Noonday Baptist Association based on completion of requirements as established in the checklist document including site visit.
Signature:

Clear
Today's date:

MonthDayYear
Date
Should be Empty: