EQIT Registration

Which EQIT session are you registering for?

Summer 2022

Name*

How do you want name printed on certificate (if different from above)?*

Phone*

Email Address for Class Communication*

PDIS Email Address for certificate*

Address

County*

Current Place of Employment

If not employed, enter "none"

Employer Address

Street Address

Current Job Role

Please Answer the Following:

Are you currently working directly with infants and/or toddlers (under age 36 months)?*

Yes
No

If yes, how many?

If not, what age group do you work with?

Why are you interested in taking this class? Check all that apply*

For ECT requirements
For Director requirements
For family child care license requirements (3 under 2, experienced, I/T)
For personal growth and knowledge

Coaching is available to compliment this training & can range from 2-8 hours per semester. Are you interested in receiving coaching through this training?*

Yes
No
Maybe

Commitment and Agreement

I agree to attend, participate in, and complete all 16 modules (16 class dates; 48 hours total) of the Expanding Quality in Infant Toddler Care course. If I miss more than two (2) modules, I understand that I will not be eligible to receive the EQIT completion certificate from the State of Colorado. I will complete make-up work that is assigned to me by the instructors for any missed class. I also allow pictures to be taken by ECCLC staff or instructors during my classes, to be used by the ECCLC for reports and marketing.

By digitally signing your name, you agree to the above statement.*

Product Name

For Non-College Credit

For College Credit

$0, I will pay FRCC directly

Total

$0.00

Payment Method (Select one from the drop down menu)

Payment is due 1 week prior to the start of class to in order to secure your spot in the class! Priority of enrollment is given based on paid registrations as this course often has a waitlist. Cash or checks (made payable to ECCLC) should be mailed to: ECCLC, 424 Pine St., Suite 201, Fort Collins, CO 80524.

Comments

You will be contacted within 5 business days regarding the status of your registration. If you have questions about EQIT or your registration, please contact Karly Kampe at [email protected]

Registration for the Summer, 2022 Session of EQIT now open!

Priority will be given to Larimer County providers working with infants and toddlers (age 0-36 months).

Out-of-county providers working with infants and toddlers (age 0-36 months) and providers working with preschoolers will be added to the waiting list.