Family Child Care Association

MEMBERSHIP APPLICATION

Business Name________________________________________________________

Providers Name___________________________________ License #____________

Address_____________________________________________________________

Town _____________________________Zip______________________

Telephone #______________________________

Cell Phone (Optional)______________________

E-Mail Address (Optional)__________________

Please enclose: 1. Copy of current day care license

2. Membership application

3. Copy of signed bi-laws

4. Check in the amount of $85 payable to:

Family Child Care Association (FCCA),

5.Webpage Application

Mail to: our Membership Coordinator

Kim Murphy

45 Main Street

Chelmsford, 01863

Memberships expire on June 30, 2012

I give my permission for my name, address, telephone number and e-mail address to be included on a membership list, which will be posted on our web page and distributed to parents seeking childcare.

YES_____ NO_____ Signature______________________________

I prefer a ______phone call, _______e-mail, _______neither,

as a reminder for upcoming workshops.

www.familychildcareassoc.com

Consitutional Bi-Laws

This association has initiated these bi-laws to affirm the basic needs of trust and honesty so that we may grow to new endeavors in a positive frame of consciousness.

I affirm my loyalty, honesty and trust as a member of the Family Child Care Association

to my fellow members.

I will represent this association in such a way that it creates good will in the public eye.

I will offer warm, caring, stimulation friendship and assist fellow providers to develop positive self-images. I will support each individual’s needs as I see them.

I will exercise my privilege as a member to speak on every debatable motion brought to the membership before the motion is acted upon.

I will not enter into any agreement or other obligate this association, except by authorization of the executive board.

I will assume the responsibility to further the objectives originally set forth by this association to help assure quality childcare and to upgrade the professionalism of family childcare providers.

I will report to the Department of Social Services at anytime I feel a child has been physically or emotionally abused.

I understand that if I violate the bi-laws of this association I may be ostracized by a 2/3^rd vote of the executive board and dismissal from the association will ensue.

I (signature of member)________________________promise upon my honor that I will faithfully obey the constitutional bi-laws set forth by the Family Child Care Association, so help me god.

Witness___________________Date____________