Application Form ECRA School and Center Accreditation Form Name of the person completing this form Name* First NameLast Name Email * example@example.com Phone Number* –Area CodePhone Number Title* Date * –Month –DayYearDate Setting Information Name of Setting* Briefly describe your setting* Address * Street Address Street Address Line 2 CityState / Province Postal / Zip CodePlease SelectAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanThe BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDemocratic Republic of the CongoDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonThe GambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNagorno-KarabakhNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandTurkish Republic of Northern CyprusNorthern MarianaNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRepublic of the CongoRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSomalilandSouth AfricaSouth OssetiaSouth SudanSpainSri LankaSudanSurinameSvalbardeSwatiniSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTransnistria PridnestrovieTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamBritish Virgin IslandsIsle of ManUS Virgin IslandsWallis and FutunaWestern SaharaYemenZambiaZimbabweOtherCountry Type of Setting* SchoolNurseryPreschoolSpecial needs programOther Opening Year* Website * Twitter Facebook Instagram Name of Owner * Name of Principal / Director* Language(s) of instruction * Curriculum * Number of Children (average in a month)* Maximum Capacity for the Center * Accreditations and Certifications الاعتمادات السابقة List any accreditations or certifications your setting has received.* Ratios and Group Sizes Number of Classrooms * Please Select12345678910 Age range of children Number of children Number of lead teachers Number of assistant teacher Classroom 1 Age range of children Number of children Number of lead teachers Number of assistant teacher Classroom 1 Classroom 2 Age range of children Number of children Number of lead teachers Number of assistant teacher Classroom 1 Classroom 2 Classroom 3 Age range of children Number of children Number of lead teachers Number of assistant teacher Classroom 1 Classroom 2 Classroom 3 Classroom 4 Age range of children Number of children Number of lead teachers Number of assistant teacher Classroom 1 Classroom 2 Classroom 3 Classroom 4 Classroom 5 Age range of children Number of children Number of lead teachers Number of assistant teacher Classroom 1 Classroom 2 Classroom 3 Classroom 4 Classroom 5 Classroom 6 Age range of children Number of children Number of lead teachers Number of assistant teacher Classroom 1 Classroom 2 Classroom 3 Classroom 4 Classroom 5 Classroom 6 Classroom 7 Age range of children Number of children Number of lead teachers Number of assistant teacher Classroom 1 Classroom 2 Classroom 3 Classroom 4 Classroom 5 Classroom 6 Classroom 7 Classroom 8 Age range of children Number of children Number of lead teachers Number of assistant teacher Classroom 1 Classroom 2 Classroom 3 Classroom 4 Classroom 5 Classroom 6 Classroom 7 Classroom 8 Classroom 9 Age range of children Number of children Number of lead teachers Number of assistant teacher Classroom 1 Classroom 2 Classroom 3 Classroom 4 Classroom 5 Classroom 6 Classroom 7 Classroom 8 Classroom 9 Classroom 10 What are the qualifications and experience levels of your teaching staff? List the staff qualifications in the box above, alternatively, upload an attachment below. Browse FilesDrag and drop files here Choose a file Cancelof Please provide the total number of hours of professional development training your staff has received in the past 12 months. This includes any workshops, courses, in-service training, or other formal training sessions attended by your staff members to enhance their skills and knowledge in early childhood education. Please list the names of all the policies and procedures currently in place at your setting. We only need the names of these policies at this time, not detailed descriptions.* Submit Application Should be Empty: