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* Contact Information

*This 7-digit number is found in your online account with the CDA Council. It is not your certificate number.

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* Child Care Program Information

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* What type of CDA will you pursue?

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* Please upload a copy of your current CDA certificate

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.
Choose File

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* Policies and Statements:

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* I acknowledge that I have read, understand, and will abide by the above named policies,
procedures, statements, and instructions. By selecting yes, I am electronically signing this document.

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