2026 NECPA Online Verifier Application

NECPA Verifier Application
Thank you for your interest in the position of NECPA Verifier. For candidacy consideration, the NECPA Commission must have the following documentation on file to complete your application:
- Application: Submission of a complete online NECPA Verifier Application.
- Three Professional Recommendations: Upon submission, a "NECPA Verifier Recommendation Form" will be sent automatically to the references you provide in your application.
  Please note: References must be professional, not personal. They must be individuals outside your immediate family or current company, with the exception of direct superiors within your organization.
Contact Information:
Name*

First NameLast Name
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Daytime Telephone:*
Mobile Phone Number:*
Email Address:*
example@example.com

Personal Statement
Please write a brief paragraph (300 - 500 words) discussing your reasons for applying for the position of NECPA Verifier.*

0/700

Conflict of Interest
A Verifier shall remove himself from any conflict of interest during the verification visit process. A conflict of interest is described as any relationship between a Verifier and program which could compromise a Verifier's ability to apply objectivity or create the appearance of impropriety during the verification visit process. A Verifier shall specifically disclose any affiliation with the faculty, staff, or owner of any child-care operation to which the Verifier may be assigned to examine accreditation data, and represents that upon acceptance of a verification visit assignment, his or her independent judgment shall not be affected by influences inconsistent with independent, impartial examination.
Please list any specific REGIONS where you cannot conduct visits due to a conflict of interest? Please write "none" if there is no conflict.*
Please list any specific PROGRAMS where you cannot conduct visits due to a conflict of interest? Please write "none" if there is no conflict.*
Current Employment Information:
If employed, what is your current position?*
Employer:*

Professional References
Please provide a minimum of 3 professional references.Recommendations must be provided by individuals outside of your immediate family or current organization, unless submitted by a direct superior. Upon submission of your application, an automated recommendation form will be sent immediately to the references listed above.
Reference #1: Name*

First NameLast Name
Reference #1: Email*
example@example.com
Reference #2: Name*

First NameLast Name
Reference #2: Email*
example@example.com
Reference #3: Name*

First NameLast Name
Reference #3: Email*
example@example.com

Attestation and Signature
I hereby certify that all information provided in this application is true, complete, and accurate to the best of my knowledge. I understand that any misrepresentation or omission of facts may result in the rejection of my application or termination of my verifier contract if approved.

By signing below, I authorize the NECPA Commission to verify the information provided and contact my listed references.
Signature*

Clear
Date*

MonthDayYear
Date
The NECPA Commission, a non-profit organization, is an equal opportunity employer.
Should be Empty:

	Beginner	Intermediate	Advanced
Microsoft Word
Microsoft Excel
Google Products (Gmail, Sheets, etc.)
Accessing Information from the Internet
Using email with attachments

NECPA Verifier Application