2026-2027 Teacher Institute (ECAC) Program Application

Teacher Institute Program Recruitment

Application for Enrollment
1. Personal Email Address
2. Candidate's First and Last Name
3. Personal Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
4. Are you already enrolled in LA Pathways System- *Mark one option
5. Center Name
6. Center Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
7.. Center Phone Number
Format: (000) 000-0000.
8. Center Director Name
9. Current age group: (Mark only one)
10. Are you a lead teacher, assistant teacher, floater, or FCC?
11. How long have you been employed at your current child care center?
12 What year did you start in Child Care?
13. How long have you been working in Child Care?
Job History

Please list your last 2 places of employment prior to your current position.
14. Employer #1. Name:
15. Employer #1. Dates Worked: (Start Date and End Date)
16. Employer #1. Position Held:
17. Employer #2. Name:
18. Employer #2. Dates Worked: (Start Date and End Date)
19. Employer #2. Position Held:
Education Summary
20. Please Select all that apply:
21. If some college please explain: where attended, how many credits, and major
22. Have you ever enrolled in an ECAC/ CDA program prior to this one such as Cornerstone ProSolutions, Applebaum, Frog Street etc and did not complete the course?
23. Personal Statement
1-3 Paragraphs please explain why you want to attend our program, VOA Partnerships In Child Care- Teacher Institute (ECAC) Program. This statement helps us select committed candidates so please answer thoughtfully. Topics you might mention: * Why you want to continue serving in child care? * Why you want to further your own education? * What you hope to learn and gain from the whole Partnerships in Child Care Teacher Institute experience?
Document Upload Section
24. Attach a copy of your HS diploma/GED/Degree/Certificate/Diploma

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25. Louisiana Pathways Enrollment form

LA Pathway Enrollment form (PDF)- Please Print

Please click the link and print, complete, and sign the document. You will need to scan it to upload below.

Tip: Use the Genius Scan app (iPhone/Android), the Notes app (iPhone/iPad), Camera app (Android-Samsung) or Google Drive app (Android) to scan documents.
Louisiana Pathways Enrollment Form- Upload Here

Please click the link above to print, complete, and sign the document. You will need to scan it in order to upload here.
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26. Louisiana Pathways Employment Verification form

Louisiana Pathways Employment Verification Form (pdf)- Please print

Please click the link and print, complete, and sign the document. You will need to scan it to upload below.

Tip: Use the Genius Scan app (iPhone/Android), the Notes app (iPhone/iPad), Camera app (Android-Samsung) or Google Drive app (Android) to scan documents.

- If an applicant cannot already prove their Pathways enrollment, they should go ahead and submit (both) their Pathways Enrollment form and official Employment Verification form, along with a copy of their high school diploma directly to La. Pathways.
Louisiana Pathways Employment Verification Form- Upload Here

Please click the link above to print, complete, and sign the document. You will need to scan it in order to upload here.
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27. Signed Candidate Memorandum of Understanding (MOU)- Please review thoroughly and if you agree, please sign below.
Candidate MOU Signature

Your signature means that you have read the above MOU and agree.
28. Signed Director Memorandum of Understanding (MOU)-

Please review thoroughly and if you agree, please sign below.
Director Signature Needed

Please use the mouse to sign. Your signature means that you have read the above MOU and agree.
29. Louisiana Pathways Early Childhood Ancillary Scholarship Application https://ldoeforms.jotform.com/231723804729055

(Directions: Click the link to complete a separate JotForm from LA Pathways. This is a required part of your applicaiton and it is considered incomplete until this is done. When you are done please come back to finish this ECAC program application for enrollment.)
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Teacher Institute Program Recruitment

Application for Enrollment

Job History

Education Summary

Document Upload Section