Nova Scotia Child Care Association
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Nova Scotia Child Care Association |
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NSCCA Student Membership Application Form
Please print out this form, fill it out, attach a cheque or money order for $30.00 and mail to: NSCCA c/o 100-1200 Tower Rd., Halifax, NS, B3H 4K6. Direct questions or concerns to (902)423-8199 or 1-800-565-8199.Name: ________________________________________________________________________
Mailing Address:_________________________________________________________________
Telephone (day):__________________________ Telephone (pm):__________________________
E-mail:________________________________________________________________________
1. Early Childhood Care & Education Credentials: Include current study and any previous ECCE study. For previous study, attach photocopy of certificate, diploma or degree. (You may be asked for proof in the form of transcripts from each institution.)
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Institution |
ECCE Certificate, Degree or Diploma Program |
Year Obtained/ Expected Graduation Date |
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2. Are you certified by the Certification Council of Early Childhood Educators of Nova Scotia?
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No |
Yes~ |
ECE |
ECCA |
I agree with the objects of the Nova Scotia Child Care Association.
Signed:_______________________________________________________
Date:_________________________________________________________
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