Texas NECPA November Cohort Interest Form
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Program Information
.
Program Name
*
NECPA Site Number
*
Can be found on your enrollment confirmation email.
What is your program type:
*
Please Select
Family/Home-Based Care
Center-Based
Program Email
*
example@example.com
Program Primary Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
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Your Information
Select your program role
*
Please Select
Program Director
Center Owner
Owner/Director
Alt Contact
3rd Party Consultant
Your Name
*
First Name
Last Name
Your email address
*
example@example.com
Your phone number
*
Please enter a valid phone number.
Format: (000) 000-0000.
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Please check each statement to confirm your understanding:
I understand that the November cohort costs $450 per program and that, if my program joins, an invoice will be due before the cohort begins.
I understand that the cohort provides monthly facilitated accreditation support and that my program is responsible for completing the required accreditation work.
I understand that participating in the cohort does not guarantee NECPA accreditation
I understand that submitting this interest form does not enroll my program in the cohort. NECPA will contact me with the next steps.I understand the following, please check all.
Name
*
First Name
Last Name
Signature
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