C:\My Documents\creating curriculum\applicationccVI.wpd

C:\My Documents\creating curriculum\applicationccVI.wpd

Creating Curriculum VI
Registration Form
Name/Nombre:
Street/Calle:
City/Cuidad:
Zip/Zona Postal:
Phone/Telefono:
(home)
(cell)
(work)
e-mail _______________________________
Please Check One:

I am a family child care provider.
Estoy proveedore de cuidado de niños.

I am a center-based teacher.
Estoy maestro en un centro.
Where do you work?
¿Donde trabaja?
I am a teacher to _________ children in my center-based or family child care group.
What is the highest grade of school you have completed?
¿Cual fue grado mas alto que completo en la escuela?

Do you have a CDA? ¿Tiene un CDA?

Yes/Si
No
How many years have you been working professionally with children?
¿Cuantos años ha estado trabajando profesionalmente con niños?
Do you own or can you borrow a 35 mm camera?
¿Usted tiene o puede tomar prestado una camera de 35 mm?
 Yes/Si
 No
Will you need a Spanish-speaking translator?
¿Necesita una traductora de español?
Do you read in:
 English?
 Spanish?
¿Ingles?
¿Español?
 English & Spanish?
¿Ambos Ingles y Español?
What have been your favorite courses or workshops for child care providers?
¿Cuales han sido sus cursos o talleres favoritos para proveedores de cuidado de niños?
To apply for admission to this course please send this completed application to:
Creating Curriculum
22 Wall Street
New Haven, CT 06511 by 10/30/02
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Creating Curriculum VI
Creating CurriculumVI is an early childhood education Quality Enhancement training
project supported by the NH Board of Education’s School Readiness Initiative. It is a
collaborative project of the Fair Haven Community Health Center’s Project SHINE
(Safety and Health in Nurturing Environments) and the Creating Kids Childcare Center
at the CT Children’s Museum.
This is an innovative and experiential childcare provider training course which uses the
structure of a children’s museum and the program model of multiple intelligences to
teach childcare providers to create developmentally appropriate program based on
the multiple intelligences inclusion model. It is based on a strong developmental
foundation.
2002-03 Schedule
Tuesdays
7:00 to 8:30 p.m.
at the
CT Children’s Museum
22 Wall Street
New Haven, CT 06511
November 5
November 19
December 3
December 17
January 7
January 21
February 4
February 25
March 18
April 1
April 15
May 6
May 20
June 3
June 17
Who can enroll in Creating Curriculum VI?
This class is open to childcare providers who live in New Haven or work in a centerbased or family-based childcare setting in New Haven. Participants earn19.5 hours
through CT Charts-A-Course upon graduation.
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