Specialized Training Application

Page 1


To translate the form into Spanish or another language (
Para traducir el formulario al español u otro idioma):
  1. Open the form using Google Chrome web browser. Download Chrome here. (Abra el formulario con el navegador web Google Chrome. Descarga Chrome aquí.)
  2. Anywhere on this form, right click and you will see a drop-down menu. (En cualquier lugar de este formulario, haga clic con el botón derecho y verá un menú desplegable.)
  3. Select “Translate to …” (Selecciona "Traducir a ...".)
  4. Choose the language you would like it to be translated to. (Elija el idioma al que le gustaría que se tradujera.)
  5. Repeat steps 2-4 on each new form page. (Repita los pasos 2 a 4 en cada nueva página de formulario.)
A. Application Type

B. Personal Information












*If training requires a certificate, please attach with this application.
C. Training Information





D. Documentation
Please submit any supporting documentation here.
Footnote & Signature
*Specialized Training refers to training outside of early care and learning, such as a tax workshop or healthcare training, that meets specific professional or industry standards.

**Applications will be processed in order of receipt within 30 business days. An expedited request may be submitted 2 weeks in advance of training.

***Hybrid means some of the content is in a classroom with a trainer and some is online.

****Asynchronous refers to self-paced courses that allow participants to go through on their own with little to no help from an instructor.


Page 2

Instructional Plans for Early Care & Learning and Specialized Training Approval Application

Please complete instructional plan below and ensure your plan covers all required components. Submit instructional plan with your completed application form from page 1.

Click here to see examples of how to complete an instructional plan for training approval.

Early Care & Learning Instructional Plan





Specialized Training Instructional Plan





E. Statement of Understanding



Applications will be processed in order of receipt within 30 business days.