NAC Staff Education and On-going Training Form



[pic] Formal Education and On-going Training Log

|Program Name (include corp. program # if applicable): |      |

|Name: |      |Title: |      |Hire Date: |      |

|Classification–see Standards A8, A9 and select: Director, Onsite Supervisor, Lead Teacher, or Assist. Teacher |      |

|Classroom Group: |      |Age Range: |      |

|Years in ECE |      |Formal Education: |      |Total ECE/CD College Credits Earned: |      |

|Field: | |(Degree/Major) | |(Non-related Majors/No Degree) | |

|Type in training received during past two (2) years in chronological order. |

|Child Abuse, CPR, Fire Extinguisher, Standard Precautions and First Aid trainings should be recorded as 0 clock hours. |

|Date |Topic (Be brief but descriptive of content) |Trainer/Agency/College |# of Clock |

| | | |Hours |

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[pic] Formal Education and On-going Training Log (continued)

|Program Name (include corp. program # if applicable): |      |

|Name: |      |Title: |      |Hire Date: |      |

|Type in training received during past two (2) years in chronological order. |

|Child Abuse, CPR, Fire Extinguisher, Standard Precautions and First Aid trainings should be recorded as 0 clock hours. |

|Date |Topic (Be brief but descriptive of content) |Trainer/Agency/College |# of Clock |

| | | |Hours |

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