Office of Children and Family Services | Home | OCFS
OCFS- 6002 (Rev. 08/2019)NEW YORK STATEOFFICE OF CHILDREN AND FAMILY SERVICESQUALIFICATIONS Child Day Care ProgramsProgram Name: FORMTEXT ?????FACILITY ID Number: FORMTEXT ?????Name OF PERSON WITH PENDING ROLE: FORMTEXT ?????Date of Birth (mm/dd/yyyy): FORMTEXT ????? / FORMTEXT ????? / FORMTEXT ?????The New York State Office of Children and Family Services (OCFS) child day care regulations identify qualifications and minimum requirements for caregiving staff in child day care programs. The information is included in section .13 of the regulations. Regulations can be obtained at ocfs.main/childcare/default.asp and from your licensor/registrar. Instructions: Consult OCFS regulations for qualification and minimum requirements for your role. Complete sections that apply to your role in the program. You may attach a resume.You may be asked to submit additional documentation to demonstrate education, training, or child care experience.Please PRINT clearlyTYPE OF PROGRAM:Family Day Care, Group Family Day Care and Small Day Care CentersDay Care Center and School-Age Child CareROLE IN PROGRAM FORMCHECKBOX Provider FORMCHECKBOX Volunteer FORMCHECKBOX Assistant FORMCHECKBOX Substitute FORMCHECKBOX Director FORMCHECKBOX Volunteer FORMCHECKBOX Group Teacher FORMCHECKBOX Assistant TeacherEducation/Training (if applicable for pending role)Date RangeDegree, Major, Name of Credential, or TrainingInstitutionNumber of Credits (if applicable) FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Child Care ExperienceDate RangeDescriptionLocationAge of Children FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Supervisory Experience (applicable for pending role of Director at Day Care Center/School-Age Child Care program)Date RangeDescriptionLocation FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? ................
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