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| Professional Information | ||
| 1. | Positions you hold: (Check all that apply) | |
| a. Family Child Care Provider b. Group Family Child Care Provider c. Center Provider d. Program Director e. Education Coordinator/Trainer f. Government Administrator/Regulator g. Resource and Referral Specialist h. Retired i. Other |
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| 2. | Age group you work with: (Check all that apply) Infants Toddlers Preschool/Pre-K Kindergarten School-age |
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| 3. | Check all that apply: Licensed Registered Certified Credential Accredited CDA |
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| 4. | CACFP Participant | Yes No |
| 5. | Are you a member of a child care association? | Yes No |
| Local State National (Check all that apply) List |
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| 6. | What association benefits interest you? (Check all that apply) | |
| a. Accreditation b. Advocacy c. Conference d. Discounts e. Newsletter f. Training g. Other |
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| 7. | How did you hear about NAFCC? (Check all that apply) | |
| a. Association b. Colleage c. Publication d. R&R e. Website f. Other |
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Continue with Application  |
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