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  • African American Provider Network – Provider Membership Form

    The vision of the African American Provider Network is to engage, empower & advance the African American Early Care and Education workforce through a critical support infrastructure that will provide a space and an opportunity for equitable access to professional development, trusted information, technical and capacity building assistance, social support and strategies for sustaining and expanding high quality child care services for children, families and communities.

  •  Benefits of Membership

  • Cost: Services are offered at no cost to African American Provider Network members.

    Eligibility: Membership is open to Black/African American child care providers, educators and students interested in advancing their careers in Early Care and Education.

    Examples of Membership Benefits:

    • Opportunities to share experiences/best practices in the Early Care and Education industry
    • Opportunities to earn additional revenue for providing coaching and mentoring to prospective child care providers
    • Tuition-free no cost enrollment in the ECE apprenticeship program that includes college registration, tuition, books, tutoring, coaching, etc.
    • Members-only online portal with a repository of resources including an online membership community to network amongst peers
    • Quarterly training and professional development sessions
    • Individualized and group coaching and mentoring sessions
    • Monthly meetings that improve your capacity as an ECE professional
    • Networking opportunities with legislators, corporate partners and stakeholders
    • Member small business spotlight

  • Member Contact Information:

  • Are you Black/African American?*
  • Format: (000) 000-0000.
  • Is your business phone number the same as your cell phone number?*
  • Format: (000) 000-0000.
  • Is your business address the same as your home address?*

  • Member Profile

  • Age:*
  • What type of ECE professional are you?*
  • Are you currently providing child care services in the Crystal Stairs service area?*
  • How many years have you been a child care provider?*
  • What type of facility do you have?*
  • What Crystal Stairs programs are you affiliated with?*

  • Education and Career Goals

  • Are you credentialed or do you have a degree?*
  • Do you have early childhood education (ECE) units?*
  • Are you interested in enrolling in school to obtain ECE educational units?*
  • Do you wish to obtain your child care license?*
  • Are you interested in participating in an apprenticeship (guided career development plan including college coursework, mentorship, on-the-job training, & skill development)?*
  • Do you have any areas of expertise that you would like to share with other child care providers?*
  • Are you interested in being coached and/or mentored?*
  • Are you interested in coaching and/or mentoring other child care providers? *
  • Would you like to have student interns in your program?*
  • Which of the following timeframes work best with your schedule for AAPN related meetings and/or events?*
  • Clear
  • Should be Empty: