Educator Forms
***We are now accepting applications for the
2012-2013 VPK Summer,
2013-2014 VPK School Year Programs and 2013-2014 School Readiness Program Year***
Please see below for all applications and instructions
If you are a current educator, or are interested in becoming an educator, please review the forms and applications below. Complete forms and application using the Checklist for each program and submit to your assigned Provider Relations Specialist. All forms must have original signature. **Please allow 10 to 15 business days for processing**
Centers beginning with “A to H” contact Jamie Lopez at ext. 112 or jlopez@elcoc.org.
Centers beginning with ”I to O” contact Millie Ortiz at ext. 133 or mortiz@elcoc.org.
Centers beginning with “P to Z” contact Trevor May at ext. 108 or tmay@elcoc.org.
Family Childcare Homes: please use the first letter of your Last Name to determine which Provider Relations Specialist to contact.
The main office number is 407-841-6607.
School Readiness (SR) Forms & Applications
2012-2013 Forms (July 1, 2012 – June 30, 2013) – Please contact our office for an application
2013-2014 Forms (July 1, 2013 – June 30, 2014)
- 2013-2014 School Readiness Checklist
- 2013-2014 School Readiness Contract and Application
- 2013-2014 Direct Deposit Authorization Form
- 2013-2014 Holiday List (July 1, 2013 – June 30, 2014)
- W-9 (Required)
- School Readiness Additional Sites (For School-Age Only Programs with multiple sites)
- Child Care Resource and Referral Update Form (CCR&R Form)
- Sample Certificate of Liability Insurance Form
Additional Information
- Health and Safety Checklist
- Approved Curriculum List
- Approved Religious Exempt and Accrediting Agencies
- Curriculum List Exception Form
- School Readiness Provider Non-Compliance Policy
- Provider Appeals Policy
Voluntary Prekindergarten (VPK) Forms and Application
- 2013-14 VPK School Year Application Checklist
- 2012-13 VPK Summer Provider Application Checklist
- Summer VPK Instructor Credentials
- VPK 20 Provider Agreement
- VPK 21 PILOT Provider Agrement Addendum (To be completed by Eligible VPK PILOT Providers)
- VPK 10, 11A, and 11B Instructions
- VPK 10 – Provider Registration Application - Center/FCCH
- VPK 11A – Class Registration – Instructors
- Affidavit of Good Moral Character – Must be notarized
- VPK 11B – Class Registration – Calendar
- 2013-2014 VPK Calendar w/OCPS + Good Friday
- 2013-2014 VPK Calendar w/OCPS
- 2013-2014 VPK Calendar – Blank
- 2012-2013 Summer Calendar Worksheet
- VPK Payment Option Form
- Advance Payment Timeline Chart
- 2013-14 Direct Deposit Authorization Form
- W-9 (Required)
- Child Care Resource and Referral Update Form (CCR&R Form)
- VPK Monitoring Tool
- Approved Religious Exempt and Accrediting Agencies
- Choosing VPK Curricula
Note: Please refer to the VPK Application Checklist for other information that must be submitted.
VPK Providers on Probation (PoP) Information
- VPK Providers on Probation Approved Curriculum
- DOE Approved Staff Development Plan for VPK Providers on Probation
- Good Cause Exemption Technical Assistance Presentation
- To access the Readiness Rate Website to view scores and complete Improvement Plans, click here
VPK Child Applications & Forms
- Child Eligibility Criteria
- VPK 01 – Child Enrollment Application - English
- VPK 01 – Child Enrollment Application – Spanish
- VPK 01P – PILOT Child Enrollment Application - Only Available in English
- VPK Parental Consent for Delayed Enrollment
- VPK Parental Consent for Re-enrollment
- VPK Parental Consent for Re-enrollment FAQ’s
- VPK Child Enrollment/Addition Form
- VPK Child Deletion Form
- VPK Parent Handbook
- VPK 03S – VPK Child Attendance Form – Short
- VPK 03L – VPK Child Attendance Form – Long
VPK Specialized Instructional Services (SIS) Educational Program (New)
- VPK SIS – Joint Memo
- VPK SIS – Fact Sheet
- VPK01S – Student Application
- VPK02S – Schedule of Services w/instructions
- VPK SIS Technical Assistance Paper – Determining Provider Eligibility
- VPK20S – VPK SIS Provider Agreement
- VK SIS – Parent Brochure
VPK Provider Frequently Asked Questions
School Readiness & Voluntary Prekindergarten Payment Information
- SR and VPK Provider Payment Process
- Sample Daily Child Sign-In and Sign-Out Sheet (editable)
- Sample Daily Before & After School Sign-In and Sign-Out Sheet (editable)
- Delinquent Parent Co-Pay Form
- School Readiness Reimburseable Rates
All documents must be submitted in completion to:
Early Learning Coalition of Orange County
Attn: Your Provider Relations Specialist
P.O. Box 540387
Orlando, FL 32854
“There are no charges/fees associated with a provider listing in the
Child Care Resource & Referral Database or for referrals to your program.
If you are asked to provide a payment for a referral or listing in the
Child Care Resource & Referral database,
please call the Agency for Workforce Innovation-Office of Early Learning,
Child Care Resource & Referral Network Office at 1-866-357-3239.”