31 Harvard Street, Worcester MA 01609
Tel: (508) 757-1503 Fax: (508) 791-4755
training@cccfscm.org
www.cccfscm.org
With funding support from: The Department of Early Education & Care
EDU251 Child Growth & Development - 3 credits
Dean College
This course pursues the principles of child growth and development, as well as factors that influence the growth process
from birth to age 12. Particular emphasis is given to application of theory to children's behavior based on the study of
their physical, social-emotional, and cognitive development. Observations and participation at the Dean College Children's
Center will offer the student the opportunity to link theory to classroom practice.
Date: Thursdays, 9/11 – 12/18/14 (no class 9/25 & 11/27)
Time: 5:30 – 8:50 pm
Location: Walpole Elm Street School, 415 Elm Street, Walpole 02081
Fee: $150
(does not include cost of textbooks)
To pre-register, complete the form below and return it with payment to the Center for Childcare Careers:
1. MAIL 2. FAX (credit card only) 3. ONLINE (credit card only)
________________________________________________________________________________
Center for Childcare Careers (CCC) Training Registration Form
Name: _____________________________________ Home Phone: __________________________
Home Address: ____________________________
City: ____________________ Zip: _______
Required: Active EEC Professional Qualification Registry # _________________________________
Birth Date: _____________________
Last 5 digits Social Security# ___ ___ ___ ___ ___
Employer: ___________________________________Location: ______________________________
Position: ______________________________
Email: ____________________________________
Work Phone: _____________________________ Phone (cell): _____________________________
Are you from: 1) __Out of School Program 2) __Child Care Center 3) __Family Child Care 4) ___ Public School
 Does your program accept Dept. of Early Education and Care child care subsidy?
1) ____ Yes - Contracted Slots 2) __ Yes - Vouchers 3) ___ No
 Are you working on (check Yes or No): 1) College degree: ___Yes ___ No 2) EEC Certification: ___Yes ___No
 Do you have a ____ GED or ____ High School Diploma?
 Are you receiving the Early Childhood Educators Scholarship? ____ Yes ____ No
*Enrollment: CCC accepts students into the course based on Dept. of EEC professional development priorities.
This fee will be returned 1) if you do not meet EEC’s professional development priority 2) if CCC cancels the
course due to low enrollment 3) if the course is full.
By completing this application, you agree to provide the following information:
___ Employer’s Release Form ___ In-Take Form ___ Signed College Release Form
___ Active Professional Qualification Registry Number
___ Individual Professional Development Plan (IPDP)
Payment Options: By check or money order, payable to FSCM/Center for Childcare Careers
By credit card – Check one: Visa ___ MasterCard ____ Am. Exp. _____
Total Amount: _______
Card #: __ __ __ __-__ __ __ __-__ __ __ __-__ __ __ __ 3-Digit Code: __ __ __ Exp. Date: ______
Name as it appears on the Credit Card: _________________________________________________
Card Holder’s Address: __________________________________________ Zip Code: __________
#EDU251 Child Growth & Dev.
9/11 – 12/18/14
Fee: $150 (does not include cost
of textbook(s))
College Registration Policies
 Registration will not be processed without payment and an active Professional Qualification Registry
Number.
 Priority registration will be given to those programs that serve EEC subsidized children through contracts
or voucher.
 Center for Childcare Careers retains the right to limit enrollment from a provider/center to 2 as space
allows. In that case, additional providers or staff will be placed on a waiting list and enrolled on a space
available basis. Contact CCC to inquire about available space. Only send payment for 2 staff at this time.
 One week before the course begins; we will start taking registrations from our wait list.
 CCC reserves the right to cancel course due to insufficient enrollment or to limit enrollment due to class size.
 The Center for Childcare Careers will give refunds if the course is full or cancelled. You will be notified.
 Withdrawal Policy: Educators who drop out before the first class do not receive the $50 registration fee
back. If a student drops out after the first class, there is no refund. Students must follow the college
withdrawal policy.
 CCC will assess an additional $15 charge for returned checks.
 The Center for Childcare Careers will send out email conformation before the first class.
 Students are responsible for purchasing their own textbook(s).
 Participant must agree to complete all necessary paper work
 Cancellation information: The Associate Dean of Dean College School of Continuing Studies, or SCS
personnel, will contact students by email or phone in the case of class cancellation. The decision is made by
3:00 p.m.