Miss Trish's CDA Program Questionnaire

Thank you for contacting Miss Trish's, an IACET Accredited Provider!

So that we can best assist you and answer any questions you may have, please spend 1 minute or less answering the questions below to help us best assist you with earning your CDA.

Once you submit your responses, a team member will follow up with you within 24 business hours via email.

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* 1. Please enter your contact information below so that we can best assist you.

First and Last Name *

Place of Employment *

Place of Employment Phone Number

State/Province *

ZIP/Postal Code

Email Address *

Phone Number *

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* 2. How can Miss Trish's assist you?

I want to earn my CDA

I want to earn my hours to Renew my CDA

I am interested in other ECE Trainings

Other (please specify)

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* 3. How did you hear about Miss Trish's?

My Center's Director referred me to Miss Trish's

My school/center posted the Information

Email Ad

Referral from a former/current student/co-worker that took courses with Miss Trish's

Middlesex College

Visited Miss Trish's website on my own

Received business card

Google/Internet search for a CDA Program

Other (please specify)

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* 4. Are you currently working at a Licensed Childcare Facility?

Yes

Other (please specify)

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* 5. Have you been employed at a Licensed Childcare Center for 3 months or more?

Yes

Other (please specify)

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* 6. Do you currently work 20 or more hours per week at a Licensed Childcare Center?

Yes

Other (please specify)

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* 7. Do you have a minimum of a High School Diploma or GED?

Yes

Other (please specify)

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* 8. Do you have a copy/can you obtain a copy of your high school diploma, GED, transcripts, or college diploma/transcripts?

Yes

Other (please specify)

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* 9. Have you previously been enrolled with Miss Trish's CDA Program?

Yes, I have previously been enrolled with Miss Trish's CDA Program

No, I have not previously been enrolled with Miss Trish's CDA Program

Other (please specify)

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* 10. Do you currently have a CDA Credential?

Yes, and it is NOT EXPIRED

Yes, but it IS EXPIRED

If your CDA is expired, when did it expire?

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* 11. Did you hear about Miss Trish's CDA Program from Middlesex College or the Middlesex College Course Catalog?

Yes

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* 12. Are you interested in applying for a scholarship (if available) or a self payment plan of 1, 2, or 4 payments?

Remember, the enrollment process at Miss Trish's is risk free and at zero cost! If you are denied funding or would like to withdraw for any reason, you are able to do so up to 14 business days prior to the course start date without any financial obligations or fees.

Scholarship (if available)

Self Payment Plan (1, 2, or 4 payments)

Other (please specify)