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CDA Forms downloadable in PDF Format

The Council provides most public use forms free of charge through this website in Adobe Portable Document Format (PDF). In order to view, print, or fill out these forms, use the latest version of Acrobat Reader (version 5 or later). Acrobat Reader can be downloaded for free from ( www.adobe.com ).

Miscellaneous forms

Order Form

Forms used to order CDA materials & publications by mail, fax, or telephone

All

1

Advisor Registry General Information Packet

Provides general information about the CDA Advisor, role and responsibility, eligibility requirement, consent form and waiver request form

Advisor

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Direct Assessment forms

The following forms are included in the CDA Application Packets for Center-based Preschool, Center-based Infant/Toddler, and Family Child Care Candidates.

Direct Assessment Application Form (Preschool, Infant/Toddler, Family Child Care)

Form completed by the Candidate, Director, and Advisor when documentation is completed and Candidate is ready for Verification Visit

CDA Candidate, Director, Advisor

4

Direct Assessment Waiver Request Form

Form used to request a waiver for some eligibility and/or information collection requirement

Candidate, Advisor

1

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Home Visitor form

The following form is included in the CDA Application Packet for Home Visitor Candidates.

Home Visitor Assessment Application

Form completed by the Candidate, Advisor, and P/C Representative when pre-requisites have been met and they are ready for LAT meeting

Home Visitor Candidate, Advisor, Parent Community Representative

4

Home Visitor Waiver Request Form

Form used to request a waiver for some eligibility and/or information collection requirement

Home Visitor Candidate, Advisor, Parent Community Representative

1

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Renewal forms

The following forms are included in the CDA Renewal Packet . The Packet is applicable for all types of CDAs—Center-based preschool; Center-based infant/toddler; Family Child Care; and Home Visitor.

Renewal Application

Form filled out by Renewal Candidate and Early Childhood Reviewer when required documentation is completed

CDA Renewal Candidate

1

Renewal Waiver Request Form

Form used by Renewal Candidate if they fail to meet some requirement, or by ECE Reviewer if they fail to meet any eligibility criteria to serve as Reviewer

CDA Renewal Candidate,

ECE Reviewer

1

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