Oklahoma Training Approval System - Educator Services

Child Care Careers Course Registration

Choose one: Caregiver Course
Director Course

30-Day Notice
Registration must be in our office
30 days prior to start date! Please do not fax.

NOTE: Incomplete or late registrations will be returned.
Course Title:
Start Date: Material Return Date: # of Partic. Expected:

NOTE: If there is a change in COURSE DATES or INSTRUCTOR, PLEASE contact our office IMMEDIATELY!

Mail Materials To: Educator Training Site Educator will pick up materials

DO NOT send: Educator Manual Resource Kit

(UPS WILL NOT DELIVER TO A P.O. BOX)
Educator's Name:
Address:
City: State: Zip: Phone:
Training Site:
Address:
City: State: Zip: Phone:

Payment Options (Check One): I am eligible and wish to receive payment from CECPD.
I am receiving payment from another source.
I am training this course on a voluntary basis.

Notes:

OFFICE USE ONLY:
CONF
PIF #
RES #
TO REG
APP CODE
PW/INV

CHECK HERE if the Educator's permanent address (above) has changed.

Session 1	Date	M	Tu	W	Th	F	Sa	Su	Time
Session 2	Date	M	Tu	W	Th	F	Sa	Su	Time
Session 3	Date	M	Tu	W	Th	F	Sa	Su	Time
Session 4	Date	M	Tu	W	Th	F	Sa	Su	Time
Session 5	Date	M	Tu	W	Th	F	Sa	Su	Time
Session 6	Date	M	Tu	W	Th	F	Sa	Su	Time
Session 7	Date	M	Tu	W	Th	F	Sa	Su	Time
Session 8	Date	M	Tu	W	Th	F	Sa	Su	Time
Session 9	Date	M	Tu	W	Th	F	Sa	Su	Time
Session 10	Date	M	Tu	W	Th	F	Sa	Su	Time