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Early Childhood Interest form

Early Childhood Interest Survey Heading link

Form for HDL students to complete regarding interest in pursuing Early Childhood credentials

Early Childhood Education Interest Survey
Name * Required
UIN * Required
Email * Required
Date * Required
MM slash DD slash YYYY
Do you currently work in Early Childhood? * Required
- Yes
- No
Where? * Required
Have you ever worked in Early Childhood in the past (other than current position)? * Required
- Yes
- No
Would you like to pursue future positions in Early Childhood? * Required
- Yes
- No
Would you like to apply for the ECACE scholarship, if you are not currently a recipient? (scholarship for early childhood education workforce members, covers full cost of attendance) * Required
- Yes
- No
Are you pursuing the Illinois Gateways Level 5 Early Childhood Education Credential? * Required
- Yes
- No
Which courses have you taken for the Illinois Level 5 Early Childhood credential? * Required
- EPSY 255
- EPSY 210
- EPSY 370
- ED 258 or SPED 466
- EPSY 326 or EPSY 426
- EPSY 382 or EPSY/SPED 482
- EPSY 461 or EPSY 520
- CI 481
- EPSY 405
- EPSY 320 or EPSY 420
- None taken yet
Are you pursuing the Infant Toddler Credential (Level 5)? * Required
- Yes
- No
Which courses have you taken for the Infant Toddler credential? * Required
- EPSY 255
- EPSY 370
- EPSY 374
- ED 258 or SPED 466
- EPSY 326 or EPSY 426
- EPSY 382 or EPSY/SPED 482
- EPSY 461
- CI 481 or CI 470
- EPSY 405
- EPSY 320
Are you pursuing the Illinois Director Credential (Levels 1-3)? * Required
- Yes
- No
Which courses have you taken for the Illinois Director Credential? * Required
- EPSY 451
- EPSY 452
- EPSY 453

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