EmailMe Form - NAFCC Affiliate Enrollment Guide and Form

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Affiliate Eligibility Checklist (check all that apply) *

Actively working towards a mission that closely relates to NAFCC’s mission to support and leverage a nationwide network of providers and partners in expanding and promoting the power of FCC, by connecting practice, policy, and research

Current or recent former family child care educators must make up atleast 50% of the organization’s board and/or leadership. This may also include home-based license-exempt or FFN caregivers.

The organization must be incorporated, have 501©3 status and remain in compliance with all state laws governing non-profit organizations. Affiliates may have a fiscal sponsor that meets the criteria.

Must have at least 30 members or participants who are also currently members of NAFCC (will be verified during application process).

Must be a statewide association or meet one of the geographic eligibility options.

Organization must have at least 1 full-time, part-time or stipend-ed staff or contractor responsible for affiliate leadership (waived for emerging affiliate)

Name of Association/Organization *

Contact Person Name *

Email *

Confirm

Contact Person Title *

Secondary Contact Person Name

Secondary Contact Email

Phone

### - ### - ####

Organization Website

Organization Full Address (use representative’s address if org has no address) *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Year Organization Established *

Number of current members or participants (estimate ok): *

Facebook Handle

Twitter Handle

Instagram Handle

LinkedIn Address

What is your organization’s approximate annual budget? *

Current funding sources (check all that apply): *

Organizational Status (check all that apply): *

Name of Fiscal Sponsor, if applicable

Is your organization state wide? *

Yes

No

Other

If not, what communities does your organization cover?

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