Form OCC300 "Add Form - Associated Trainer Evaluation" - Maryland

What Is Form OCC300?

This is a legal form that was released by the Maryland State Department of Education - a government authority operating within Maryland. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on June 1, 2019;
  • The latest edition provided by the Maryland State Department of Education;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form OCC300 by clicking the link below or browse more documents and templates provided by the Maryland State Department of Education.

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Download Form OCC300 "Add Form - Associated Trainer Evaluation" - Maryland

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MARYLAND STATE DEPARTMENT OF EDUCATION
Office of Child Care
ADD Form
Associated Trainer Evaluation
Name of Trainer to be Associated:
Date:
Name of Organization:
CCATS ID #:
Address:
Phone Number:
DO NOT USE CHECK MARKS. Write YES, NO or NA where appropriate. Fill in training hours where appropriate.
Conferred Bachelor’s, Masters or Doctoral Degree in a Related Field
Conferred Associates Degree in Early Childhood Education
Field of Study:
Field of Study:
Additional Data:
EDUCATION REQUIREMENTS FOR CORE OF KNOWLEDGE TRAINING:
Child Development (3 credits or 45 clock hours)
Hrs.
Curriculum Development (3 credits or 45 clock hours)
Hrs.
Course Name:
Course Name:
Course Name:
Course Name:
Course Name:
Course Name:
EDUCATION REQUIREMENTS FOR PRE-SERVICE TRAINING:
Infant/Toddler Development –Course Name
Infant/Toddler Curriculum – Course Name
HOURS
HOURS
Preschool Development – Course Name
Preschool Curriculum – Course Name
HOURS
HOURS
School-Age Development – Course Name
School-Age Curriculum – Course Name
HOURS
HOURS
DOCUMENTATION OF APPROVED TRAINING OF TRAINERS -
DOCUMENTATION OF TRAINER ORIENTATION – DATE:
DATE(S) COMPLETED:
Years
Must have a minimum of 4 years working directly with children in the age that you plan to train on.
Core of Knowledge Training
☐ I/T:
☐ PS:
☐ SA:
Pre-Service (check the box for each age group and write number of years of experience)
Teaching Certificate/Approval (K or Grades 1-8):
Expiration Date:
Comments:
TRAINER EVALUATION SUMMARY
CCATS ID#:
This Training Requirements Evaluation was created by an Office of Child
Name of Trainer to be Associated:
Care (OCC) representative based on documentation submitted, evaluated
has been evaluated to conduct training in the following training types,
and approved. Tampering with, or changing information on this document
core of knowledge areas and pre-service ages (check all that apply):
is prohibited. This evaluation should be retained for your records It is the
Continued /Elective (CT)
responsibility of the hiring organization to request copies of transcripts,
resumes, training of trainer’s certificates, professional letters of reference,
Core of Knowledge (CK)
Please email
additional certificates and to verify prior work experience.
☐ Child Development
☐ Curriculum
☐ Community
this form, copy of orientation letter and TOT certificate(s) to
the following email: trainingocc.msde@maryland.gov.
☐ Professionalism
☐ Special Needs
☐ Health, Safety, Nutrition
☐Infant/Toddler
☐ Preschool
☐ School-Age
MSDE USE ONLY:
Pre-Service (PS)
Signature of Organization Owner:
APPROVED BY:
APPROVAL DATE:
DATE ENTERED IN CCATS:
Date:
OCC 300 – Based on COMAR 13A.14.08 Child Care Training Approval – as amended effective JUNE 2019
MARYLAND STATE DEPARTMENT OF EDUCATION
Office of Child Care
ADD Form
Associated Trainer Evaluation
Name of Trainer to be Associated:
Date:
Name of Organization:
CCATS ID #:
Address:
Phone Number:
DO NOT USE CHECK MARKS. Write YES, NO or NA where appropriate. Fill in training hours where appropriate.
Conferred Bachelor’s, Masters or Doctoral Degree in a Related Field
Conferred Associates Degree in Early Childhood Education
Field of Study:
Field of Study:
Additional Data:
EDUCATION REQUIREMENTS FOR CORE OF KNOWLEDGE TRAINING:
Child Development (3 credits or 45 clock hours)
Hrs.
Curriculum Development (3 credits or 45 clock hours)
Hrs.
Course Name:
Course Name:
Course Name:
Course Name:
Course Name:
Course Name:
EDUCATION REQUIREMENTS FOR PRE-SERVICE TRAINING:
Infant/Toddler Development –Course Name
Infant/Toddler Curriculum – Course Name
HOURS
HOURS
Preschool Development – Course Name
Preschool Curriculum – Course Name
HOURS
HOURS
School-Age Development – Course Name
School-Age Curriculum – Course Name
HOURS
HOURS
DOCUMENTATION OF APPROVED TRAINING OF TRAINERS -
DOCUMENTATION OF TRAINER ORIENTATION – DATE:
DATE(S) COMPLETED:
Years
Must have a minimum of 4 years working directly with children in the age that you plan to train on.
Core of Knowledge Training
☐ I/T:
☐ PS:
☐ SA:
Pre-Service (check the box for each age group and write number of years of experience)
Teaching Certificate/Approval (K or Grades 1-8):
Expiration Date:
Comments:
TRAINER EVALUATION SUMMARY
CCATS ID#:
This Training Requirements Evaluation was created by an Office of Child
Name of Trainer to be Associated:
Care (OCC) representative based on documentation submitted, evaluated
has been evaluated to conduct training in the following training types,
and approved. Tampering with, or changing information on this document
core of knowledge areas and pre-service ages (check all that apply):
is prohibited. This evaluation should be retained for your records It is the
Continued /Elective (CT)
responsibility of the hiring organization to request copies of transcripts,
resumes, training of trainer’s certificates, professional letters of reference,
Core of Knowledge (CK)
Please email
additional certificates and to verify prior work experience.
☐ Child Development
☐ Curriculum
☐ Community
this form, copy of orientation letter and TOT certificate(s) to
the following email: trainingocc.msde@maryland.gov.
☐ Professionalism
☐ Special Needs
☐ Health, Safety, Nutrition
☐Infant/Toddler
☐ Preschool
☐ School-Age
MSDE USE ONLY:
Pre-Service (PS)
Signature of Organization Owner:
APPROVED BY:
APPROVAL DATE:
DATE ENTERED IN CCATS:
Date:
OCC 300 – Based on COMAR 13A.14.08 Child Care Training Approval – as amended effective JUNE 2019