Homepage Maryland Credentialing Application PDF Template
Outline

The Maryland Credentialing Application form serves as a vital tool for early childhood educators and administrators aiming to formalize their qualifications within the state. Facilitated by the Maryland State Department of Education/Division of Early Childhood Development, this form is a gateway for professionals in this field to access opportunities for acknowledgment, professional development, and growth. The application encompasses key sections including personal and employment information, a self-reflective essay for first-time applicants, a signature to affirm the veracity of the provided information, and a detailed education history. Applicants are required to specify the type of application they're submitting—be it for a first-time credential, renewal, update, or upgrade of existing credentials. The necessity for certain documentation, including but not limited to training certificates, transcripts, and proof of professional activities, emphasizes the thoroughness of the process. Moreover, the inclusion of an essay for new applicants encourages reflection on their professional journey and aspirations within the child care realm. By ensuring all provided information is truthful and complete, applicants navigate a path toward enhancing their credentials, thereby contributing to the overarching goal of elevating the quality of child care services in Maryland.

Maryland Credentialing Application Sample

Fax:

Maryland State Department of Education/Division of

Return To:

410-229-0145

Early Childhood Development

Child Care Central

Email:

Maryland Child Care Credential Program

PO Box 598

cccredential@conduent.com

CREDENTIAL APPLICATION

Baltimore, MD 21203

 

 

 

** Instructions for each section of this application are at the end of the application, on page 3. **

Incomplete applications will be returned.

For assistance completing the application, call Child Care Central at 1-877-355-1229 or refer to the Credentialing Booklet at

http://earlychildhood.marylandpublicschools.org/child-care-providers/credentialing

 

 

Section 1

 

General Information

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Application Type:

 First Application

 Renewal

 Update

 Upgrade

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Section 2

 

Applicant Information

 

 

 

 

 

 

 

 

Name (Last, First, Middle, Maiden):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Party ID Number:

 

Social Security Number (SSN):

 

 

Date of Birth (DOB): MM/DD/YYYY

 

 

 

 

 

 

 

 

 

 

 

Gender: ☐ Female

 

Race and Ethnicity: ☐ White or Caucasian

 

Age Range: ☐ 17-35

 

 

 

☐ Male

 

 

☐ Black or African American

 

 

36-54

 

 

 

Non-binary

 

 

☐ Hispanic or Latino

 

 

☐ 55 - above

 

 

 

 

 

 

 

 

☐ Asian or Asian American

 

 

 

 

 

 

 

 

 

 

 

☐ American Indian or Alaska Native

 

 

 

 

 

 

 

 

 

 

 

☐ Native Hawaiian or other Pacific Islander

 

 

 

 

 

 

 

 

 

 

☐ Another Race

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Primary Language:

 

 

 

 

County/Jurisdiction:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mailing Address:

Street

Apt Number

City

State

Zip Code

 

 

 

 

 

 

 

 

 

 

 

 

Phone Number:

 

 

 

Email Address:

 

 

 

 

 

 

 

 

 

 

Are you currently enrolled in the Child Care Career Professional Development Fund (CCCPDF)?  Yes

 No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Section 3

 

Employment Information

 

 

 

 

 

 

 

 

Licensed Child Care Center Name:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mailing Address:

Street

Apt Number

City

State

Zip Code

 

 

 

 

 

 

 

 

 

 

 

Center License Number:

 

 

Center Phone Number:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Position

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Family Child Care Provider Registration Number:

________________________

Child Care Center Employee (Check primary position.)

 Director  Teacher  Aide  Other ______________________

Age Group (Check all that apply.):

 Infant/Toddler  Preschool  School Age  All

Section 4 Essay

Include an essay only if this is a First Application. The essay is not required for Renewal, Update, or Upgrade Applications.

The Credential Essay is designed to enable the applicant to reflect thoughtfully on his/her career as an early childhood educator and/or administrator. Reflection allows child care professionals to “paint a picture” of current practice and focus on improving skills and knowledge. As a professional it is necessary to reflect on your practices and interactions with children and families. Reflection can result in opportunities for continuous improvement of practice and skills. Stop and take time to reflect daily as you interact with children and families. Listen openly to the ideas of others. Reflect on your work and the work of others around you. Consider and implement ways to develop your practice.

Choose one question as the topic of your essay. Include your essay in your application packet. Your essay should be 300 to 500 words and may be typed or handwritten.

Why did you become a child care professional?

Why do you want to get the Maryland Child Care Credential?

DOC.111.11 Revised 01/22. All previous versions are obsolete.

Page 1 of 3

 

Section 5

Signature

 

 

 

 

 

I affirm that all information on this application and all attached documentation is true and correct. I understand that if I have had a child care license or registration suspended or revoked I may not be eligible to participate in the Credential Program. I further understand that there are penalties for giving false statements. I have attached all required information including documentation of training, professional activity, and experience. My signature below makes this statement binding.

Applicant Signature

Date

This application will not be processed if the form is not signed and dated.

 

Section 6

Education

 

 

 

 

 

List all courses from your attached college grade slips/transcripts that are related to early childhood development and the college credit hours for each.

If this is a First Application, list all related college courses ever completed.

If this is a Renewal, Update, or Upgrade, list only related college couses taken during the current credential year.

Course Title

College Credit Hours

DOC.111.11 Revised 01/22. All previous versions are obsolete.

Page 2 of 3

Instructions for completing an

application to the Maryland Child Care Credential Program

Section 1 General Information

Select only one Application Type.

To be credentialed for the first time, check First Application and complete Sections 1 through 6.

To renew a current credential within the required timeframe, check Renewal and complete all Sections except Section 4. To reactivate a credential that expired more than 30 days ago, check Update and complete all Sections except Section 4. To move to a higher level within the credential year, check Upgrade and complete all Sections except Section 4.

Required Documentation

Enclose the following documents with your application.

 

 OCC Approved Training Certificates (Completed within 5 years of application date for First Application.

 

 

Completed within the current credential year for Renewal, Update, or Upgrade.)

Education/Training

 College grade slips/transcripts or proof of current college enrollment (No expiration regardless of datefor

 

First Application. Completed within the current credential year for Renewal, Update, or Upgrade.)

 

 

 

 College degree with accompanying transcript from an accredited college or university. (Foreign degrees

 

 

must be translated and evaluated before submission.)

 

 

Professional Activities

 Professional organization membership card(s)

Canceled checks

(Must be within 12 months

 Letters of acknowledgement of participation in professional activities

of application date.)

 Other documentation, as appropriate.(Refer to the Credential Program booklet for examples of PAUs)

 

 

 

 

 Family Child Care Provider: Copy of any family day care certificate of registration, including current

 

 

certificate and copy of at least one child attendance sheet completed during the past 12 month period.

Experience

Center Staff: Letter of employment on center letterhead including position, hours worked per week and

 

 

start and end date for each position held or other documentation of current employment.

Any other documentation of experience, letters, time sheets, staff evaluation card, etc.

Section 2 Applicant Information

Answer all of the questions in this section.

Please make a note of the Date of Birth and Phone Number you enter on the form. This information will be needed to access your credential information on the automated phone system.

Section 3 Employment Information

Answer all of the questions in this section for your current position. In the Position field, choose either Family Child Care Provider or Child Care Center Employee. If you are an employee, answer the remaining questions in that section.

Family child care providers must submit a certificate of registration and 1 attendance sheet dated within the last 12 months. Child care center staff must submit a letter of employment on the center's letterhead including position, hours worked per week and start and end date for each position held.

Section 4

Essay

 

 

If this is your first application, either type or hand write an essay on the question you selected and include it in your application packet.

Section 5

You must sign and date the application for it to be considered complete. Incomplete applications will be returned.

Section 6

Education

 

 

List all courses from your attached college grade slips/transcripts that are related to early childhood development and the college credit hours for each. If this is a First Application, list all related college courses ever completed. If this is a Renewal, Update, or Upgrade, list only related college courses taken during the current credential year.

Additional Information

For additional information on the Maryland Child Care Credential Program or completing this application refer to the Credentialing Booklet at http://earlychildhood.marylandpublicschools.org/child-care-providers/credentialing.

DOC.111.11 Revised 01/22. All previous versions are obsolete.

Page 3 of 3

File Breakdown

Fact Detail
1. Form Title Maryland Credentialing Application Form
2. Issuing Body Maryland State Department of Education/Division of Early Childhood Development
3. Application Types First Application, Renewal, Update, Upgrade
4. Submission Methods Fax, Email, Mail
5. Contact Information Fax: 410-229-0145, Email: cccredential@conduent.com
6. Assistance Available Child Care Central at 1-877-355-1229 or Credentialing Booklet online
7. Instructions Included Yes, at the end of the application
8. Required Documentation Includes OCC Approved Training Certificates, College grade slips/transcripts, Professional Activities Documentation, Experience Documentation
9. Signature Requirement Application must be signed and dated to be processed

Steps to Filling Out Maryland Credentialing Application

Completing the Maryland Credentialing Application form is a pivotal step for early childhood educators aiming to enhance their credentials. The process requires careful attention to detail and meticulous preparation to ensure all the necessary documentation is accurately provided. This guide simplifies the steps needed to fill out the application form correctly.

  1. Select the appropriate Application Type in Section 1 by checking one of the following options: First Application, Renewal, Update, or Upgrade.
  2. In Section 2, Applicant Information, fill out your full name (including maiden name, if applicable), Party ID Number if known, Social Security Number, Date of Birth using MM/DD/YYYY format, Gender, Race and Ethnicity, Age Range, Primary Language, County/Jurisdiction, and your complete mailing address. Also, provide your Phone Number and Email Address and indicate whether you are currently enrolled in the Child Care Career Professional Development Fund (CCCPDF).
  3. For Section 3, Employment Information, detail your current employment situation. If you are a Licensed Child Care Center employee, include the Center Name, Mailing Address, License Number, and Phone Number, and specify your role and the age groups you work with. If you are a Family Child Care Provider, include your Registration Number and also specify the age groups you serve.
  4. If applying for the first time, Section 4 requires you to include an essay of 300 to 500 words on either why you became a child care professional or why you want to obtain the Maryland Child Care Credential. Remember, this essay is not required for Renewals, Updates, or Upgrades.
  5. In Section 5, ensure you sign and date the application to affirm that all information provided is true and correct. Unsigned applications will not be processed.
  6. Complete Section 6, Education, by listing all college courses related to early childhood development that you have taken, along with the college credit hours for each course. Your response will vary depending on whether this is a First Application, Renewal, Update, or Upgrade.

Make sure to gather all required documentation specified in the instructions and include it with your application packet. This documentation encompasses OCC Approved Training Certificates, college grade slips/transcripts or proof of current college enrollment, professional activities verification, and, for family child care providers, a copy of your family day care certificate of registration and attendance sheet. Child care center staff must provide a letter of employment.

Once your application is complete, review it carefully to ensure no section has been overlooked and that it is signed and dated. Afterward, submit your application packet to the Maryland State Department of Education/Division of Early Childhood Development, Child Care Central, as instructed on the form. This step marks the beginning of the process to enhance your credentials, acknowledging your commitment to the field of early childhood education.

More About Maryland Credentialing Application

What is the Maryland Child Care Credential Program?

The Maryland Child Care Credential Program acknowledges child care providers who go beyond the state's minimum licensing requirements to improve their professional capabilities in early childhood education. It is designed to reward educators and administrators who invest time and effort into their career development, thereby elevating the quality of child care services offered across the state.

Who can apply for this credentialing?

Anyone working in the child care sector in Maryland, including family child care providers, child care center employees, directors, teachers, and aides, can apply. This program is suitable for both new applicants seeking to be credentialized for the first time and those looking to renew, update, or upgrade their current credentials.

What documents are required for the application?

  • OCC Approved Training Certificates
  • College grade slips/transcripts or proof of current college enrollment
  • A college degree with an accompanying transcript from an accredited college or university (For degrees obtained outside the U.S., a translation and evaluation are required.)
  • Proof of membership in professional organizations
  • Documentation of participation in professional activities
  • For family child care providers, a copy of the family day care certificate of registration and child attendance sheet
  • For center staff, a letter of employment on center letterhead detailing the position held, hours worked per week, and duration of employment
  • Any other relevant documentation showcasing experience and participation in the field

How do I submit my application?

Submissions can be made via fax or email to the Maryland State Department of Education/Division of Early Childhood Development, Child Care Central. Be sure to include all required documentation as outlined in the application to avoid processing delays.

Is an essay required for the application?

An essay is required only for first-time applicants. It should reflect on your career as an early childhood educator or administrator, focusing on your practices, interactions with children and families, and areas for improvement. Choose one of the provided questions for your essay topic. The essay should be between 300 to 500 words and may be typed or handwritten.

Can I renew my credential online?

While the material does not specifically mention an online renewal process, applicants are advised to check the official website or contact Child Care Central for the most current information on application submission methods, including online options if available.

What happens if my application is incomplete?

Incomplete applications will be returned. Ensure that all sections are fully filled out and that you have attached all the required documents. If you need assistance completing the application, you can refer to the Credentialing Booklet or contact Child Care Central directly.

What is the contact information for assistance with the application process?

For assistance, you can call Child Care Central at 1-877-355-1229. Additionally, more information and resources can be found by visiting the Division of Early Childhood Development's website at the provided URL.

Common mistakes

Filling out the Maryland Credentialing Application form might seem straightforward, but it's easy to slip up if you're not paying attention. Here are 10 common mistakes people make when completing the form:

  1. Not selecting the correct Application Type in Section 1. Many forget to mark whether it's a First Application, Renewal, Update, or Upgrade, which can lead to processing delays.

  2. Omitting their Date of Birth (DOB) or entering it in the wrong format in Section 2. This is crucial information required for processing your application.

  3. Forgetting to include the Party ID Number in Section 2. This number is essential for identifying your records efficiently.

  4. Leaving the Social Security Number (SSN) field blank in Section 2. Your SSN is needed for verification purposes and to maintain the accuracy of your credential records.

  5. Not specifying the correct Age Range in Section 2. This demographic information helps in categorizing your credentials appropriately.

  6. Failing to check the appropriate boxes under Gender, Race and Ethnicity in Section 2. Accurate demographic information is important for statistical and identification purposes.

  7. Skipping the Employment Information in Section 3. Whether you're a family child care provider or a child care center employee, this section must be completed fully.

  8. Forgetting to sign and date the application in Section 5. An unsigned or undated application is considered incomplete and will be returned.

  9. Not attaching required documentation such as OCC Approved Training Certificates, college transcripts, or letters of employment. These documents are critical for verifying your qualifications.

  10. Missing the essay section in Section 4 for First Applications. This essay is an opportunity to reflect on your career and goals, and is a requirement for first-time applicants.

Remember, the details matter when it comes to your credentials. Avoiding these mistakes can save you time and help ensure your application process goes smoothly.

Documents used along the form

The process of applying for the Maryland Child Care Credential involves more than just completing the application form. Various supporting documents and forms must accompany the application to satisfy the requirements set by the Maryland State Department of Education/Division of Early Childhood Development. Below is a list and brief description of other forms and documents often needed alongside the Maryland Credentialing Application form.

  • Proof of Identity: A copy of a government-issued photo ID, such as a driver's license or passport, to verify the applicant's identity.
  • Child Abuse and Neglect (CAN) Clearance: A clearance document indicating the applicant has no record of child abuse or neglect.
  • Criminal Background Check: A report from a state or federal agency showing the applicant's criminal history, ensuring the safety and well-being of children in their care.
  • Health Clearance: A form completed by a healthcare provider indicating the applicant is physically and mentally capable of caring for children.
  • Educational Transcripts: Official transcripts from accredited educational institutions showing coursework relevant to early childhood development.
  • First Aid and CPR Certification: Copies of current First Aid and CPR certification cards, ensuring the applicant can respond to health emergencies.
  • References: Letters from professional or academic references attesting to the applicant's character, work ethic, and suitability for child care work.
  • Work Experience Documentation: Documents such as letters of employment, pay stubs, or performance evaluations detailing previous experience in child care or related fields.
  • Professional Development Training Records: Certificates from completed training courses related to child care or early childhood education, not older than five years for first-time applicants.
  • OCC Approved Training Certificates: Certificates from trainings specifically approved by the Office of Child Care, relevant to the credential year for renewals, updates, or upgrades.

Together, these documents create a comprehensive profile of the applicant, highlighting their qualifications, experience, and commitment to providing high-quality child care. Each document plays a crucial role in the Maryland Child Care Credentialing process, ensuring that individuals who work with children are thoroughly vetted and equipped with the necessary skills and knowledge. Applicants should thoroughly review the requirements and prepare their documentation accordingly to ensure a smooth application process.

Similar forms

The Maryland Credentialing Application form is similar to several other documents required for various professional certifications and registrations. These include job applications, college admission applications, and professional development submissions. Each of these documents shares common features with the Maryland Credentialing Application form, such as requiring personal and professional information, a detailed history of educational and employment experiences, and often, an essay or personal statement to assess the applicant's intentions and qualifications.

One type of document that bears resemblance to the Maryland Credentialing Application form is a job application form. Like the credentialing application, job applications require candidates to provide personal data, contact information, and employment history. Both forms may ask for specifics about education, certifications, and licenses. The requirement to list experiences relevant to the position or credential being sought is central to both, aiming to establish the applicant's qualifications and suitability.

Another document similar to the Maryland Credentialing Application form is a college admission application. College applications also gather personal information, educational background, and often include an essay or personal statement where the applicant must articulate their career objectives, educational goals, or reflections on their journey in a specific field. The essay section of the credentialing application, designed for candidates to reflect on their career as early childhood educators, mirrors the personal insight essays found in college admissions, allowing applicants to convey their passion, experience, and future ambitions in the field of education.

A third related document is the professional development submission. This might be required for attending advanced training, workshops, or conferences. Similar to the credentialing application form, these submissions necessitate details about the applicant's current role, professional history, and sometimes evidence of previous continuing education. Both types of documents serve to ensure that the applicant is continually improving and staying current within their profession, a key component for growth and adherence to industry standards.

Dos and Don'ts

Filling out the Maryland Credentialing Application form is an important step for child care professionals in Maryland. To ensure a smooth application process, here are things you should and should not do:

Do:
  • Read the instructions on page 3 of the application carefully before starting. These provide crucial information on how to properly fill out each section.
  • Answer all questions in each section fully and truthfully. Providing accurate and complete information is essential for processing your application.
  • Include all required documentation such as OCC Approved Training Certificates, relevant college grade slips/transcripts, and, if applicable, your professional activity documentation. Make sure these documents are up to date and clearly legible.
  • Check the appropriate box for the Application Type in Section 1 to indicate whether this is a First Application, Renewal, Update, or Upgrade. This will guide you on which sections of the form need to be completed.
  • If this is your first application, take the time to write a thoughtful and reflective essay that answers one of the provided questions. This essay is your opportunity to share your motivations and aspirations as a child care professional.
  • Sign and date the application. An unsigned or undated application cannot be processed and will be returned to you.
Don't:
  • Leave any sections incomplete. If a section does not apply to you, clearly mark it as "N/A" (not applicable) instead of leaving it blank. Incomplete applications will be returned.
  • Guess on dates or information. If you are unsure about details like your educational accomplishments or dates of professional activities, take the time to verify them before submitting your application.
  • Use outdated or expired documents. Ensure that all certifications, transcripts, and professional documents are current and reflect your latest achievements.
  • Forget to include your signature and the date on the application. Your application must be signed to be considered valid.
  • Write your essay last minute or choose a topic that doesn't resonate with you. The quality of your essay can significantly impact the strength of your application, especially for first-time applicants.
  • Rely solely on the application form for instructions. Refer to the Credentialing Booklet for detailed guidance and additional information that can help strengthen your application.

Misconceptions

When navigating the Maryland Credentialing Application process, several misconceptions can lead to confusion or errors. Understanding these misconceptions is key to successfully completing the application. Here are ten common misunderstandspaces.

  • Essay Requirement Applies to All Applications: A common misunderstanding is that the essay section must be completed for all types of applications. In reality, the essay is only required for first-time applicants. Renewals, updates, or upgrades do not require an essay submission.
  • Application Type: Some believe they can select multiple application types on the form. However, applicants must choose only one application type that best fits their current situation, whether it is a first application, renewal, update, or upgrade.
  • Documentation Expiry: There's a myth that all submitted documents must be recent or within a specific timeframe. For first applications, training certificates completed within 5 years are acceptable, and college coursework has no expiration date. Renewals, updates, or upgrades require documentation within the current credential year.
  • Professional Activities Documentation: Another misconception is regarding the type of documentation needed for professional activities. While membership cards and letters of participation are standard, other documents like canceled checks (within 12 months of application date) are also valid.
  • Employment Information for Family Child Care Providers: It is often misunderstood that more in-depth information is necessary. Family child care providers need only to submit a current certificate of registration and an attendance sheet from the last 12 months.
  • Completeness of the Application: There's a misconception that incomplete applications might still be processed with missing elements to be submitted later. In reality, incomplete applications will be returned without processing. All required sections and documents must be included upon submission.
  • Education Section Complexity: Applicants sometimes assume the education section requires detailed descriptions of each course. Instead, this section simply requires the listing of relevant college courses and their credit hours.
  • Phone System Access: Applicants often forget the importance of accurately recording their Date of Birth and Phone Number, which are essential for accessing credential information through the automated phone system.
  • Assistance Availability: There is a false belief that help is hard to find when completing the application. Support is readily available through Child Care Central for assistance with the application process.
  • Signature Requirements: Lastly, some might think a digital signature is sufficient. The application mandates a handwritten signature and date for validation before it can be considered complete and ready for processing.

Clearing up these misconceptions can streamline the application process, preventing unnecessary delays or rejections. Applicants are encouraged to review instructions carefully and utilize available resources for assistance.

Key takeaways

When filling out the Maryland Credentialing Application form, it's essential to understand several key points to ensure your application is complete and processed without delays. Here are some crucial takeaways:

  • Choose the correct application type: The form allows for four options: First Application, Renewal, Update, or Upgrade. Select the one that applies to your situation to ensure that you're providing all the necessary information.
  • Complete all required sections: Depending on the type of application you're submitting (First Application, Renewal, Update, or Upgrade), some sections may not need to be completed. Pay close attention to the instructions to avoid submitting incomplete applications, which will be returned.
  • Essay requirement: If this is your first application, you will need to include an essay based on one of the given questions. This essay is not required for the other three types of applications.
  • Sign and date your application: An unsigned or undated application is considered incomplete and will not be processed. Make sure to review your application before sending it to verify that it is signed and dated.
  • Include all required documentation: The application needs various documents, including training certificates, education records, and employment verification, depending on the application type. Check the instructions carefully to ensure you include all necessary documentation.
  • Checklist for supporting documents: Review the list of required supporting documents carefully. This includes OCC Approved Training Certificates, college transcripts or proof of enrollment, professional activity documentation, and for those already working, evidence of current employment or child care center details. Failing to enclose any required document can delay the application process.

For more detailed guidelines, referring to the Credentialing Booklet available on the Early Childhood Development website is recommended. It provides additional information and clarifications that can be helpful in completing the Maryland Credential Application form.

Please rate Maryland Credentialing Application PDF Template Form
4.73
Incredible
181 Votes