Initial Credential Application

Questions regarding this Enrollment Application and the procedure for earning the New Jersey Infant/Toddler Credential can be emailed to CITE at credential@njcite.org. Interested applicants should submit this enrollment form, the $350.00 administration fee, and all required documentation to be considered. We recommend reviewing the Application Check List and submitting the Code of Ethics Agreement before completing this form.

Personal Contact Information

Name

First

Last

Home Address, City, State, Zip

Phone

Email

Current Employment (minimum of 6 months working with children under three years of age)

Position/Title

Employer

Employers Address, City, State, Zip

Business Phone

Business Email

Employment Dates From:

To:

Required Documentation. (Please select the appropriate option and email documentation to: credential@njcite.org)

Letter from Director

Copy of Family Child Care Registration Certificate and/or letter from parent or family child care network/child care resource & referral agency

Alternate Work Experience (minimum of 6 months working with children under three years of age)

Volunteer Experience

Student Practicum

Position

Organization/College/University

Volunteer Dates From:

To:

Address, City, State, Zip

Phone

Contact Person Email

Required Documentation. (Please select the appropriate option and email documentation to: credential@njcite.org)

Letter from Director

Letter from Advisor

OtherOther

Educational Background

High School

Location

Number of Years Completed

Degree Earned & Major

College

Location

Number of Years Completed

Degree Earned & Major

Other

Location

Number of Years Completed

Degree Earned & Major

Other

Location

Number of Years Completed

Degree Earned & Major

Additional Requirements

Additional Requirements. All candidates for the NJ Infant/Toddler Credential are expected to join the NJ Workforce Registry at wwwnjccis.com. Please check your status below:

I am currently registered with the NJ Workforce Registry. (Please email a copy of your NJ Workforce Registry card to credential@nj.cite.org)

I am in the process of registering with the NJ Workforce Registry.

I need to register with the NJ Workforce Registry.

All candidates for the NJ Infant/Toddler Credential must follow a code of ethics such as the code of ethics established by the National Association for the Education of Young Children. By checking the box below, I confirm I have read, signed, and submitted the Code of Ethics Agreement located in the Credentials menu on this website.

I have submitted the Code of Ethics Agreement on this website.

I am unable to submit the Code of Ethics Agreement and require assistance.

My signature below indicates that I have fully completed and understand this application. I acknowledge all the documentation required and understand that the NJ Infant/Toddler Credential cannot be awarded if I do not successfully complete all the components outlined in The Learning Guide for the New Jersey Infant/Toddler Credential. I understand that an incomplete application will be rejected and will not be processed.

Signature (Please type your name)

First

Last

Date

NJ Infant/Toddler Credential

Total

Don’t forget to sign and submit the Code of Ethics Agreement and order The Learning Guide for the New Jersey Infant/Toddler Credential ($20.00).

CITE NJ Infant/Toddler Credential Contact Information: credential@njcite.org OR Coalition of Infant/Toddler Educators Attn: NJ Infant/Toddler Credential P.O. Box 1015 Barnegat Light, NJ 08006

Clicking the submit button completes the application and you will be directed to PayPal for the payment process.

Please indicate your method of payment.

Credit/Debit Card

Other Funding Source

Initial Credential Application - NJCITE

New Jersey Infant/Toddler Credential Application

Personal Contact Information

Alternate Work Experience (minimum of 6 months working with children under three years of age)

Educational Background

Additional Requirements