Pedagogical Partner Program Request Form

Type of Program*

Program Name*

Program ID Number

Program Address*

Street Address City Province ZIP / Postal Code

Contact Person*

First Name Last Name

Email*

Phone*

Licensed Capacity*

Current Enrollment*

Number of educators who are currently qualified as Child Development Supervisor (CDS):*

Number of educators who are currently qualified as Child Development Worker (CDW):*

Number of educators who are currently qualified as Child Development Assistant (CDA):*

Are you affiliated with an Out of School Care program or Family Childcare program?**

How many educators are currently enrolled and participating in the Explore Early Childhood Curriculum course offered by MacEwan University?*

How many educators have completed the Exploring Early Childhood Curriculum Course offered by MacEwen University to date?*

Have you had educators who completed the Exploring Early Childhood Curriculum Course in the past and are no longer with the program? If yes, how many?*

Is your program a Francophone agency requiring bilingual PP Support? Yes / No*

How did you hear of Pedagogical Partner Support for programs? (Check all that apply)*

Select All
Flight Course
ARCQE Website
ARCQE Newsletter
ARCQE Facebook page
AECEA website/newsletter
ARCQE Possibilities for Practice Series
Ministry of Children's Services
Other

Share with us what you are most interested in relative to the Curriculum and PP support?*

Key considerations for engagement in the Consolidating Practice phase would include program structure to be in place to support and time and active engagement with facilitating implementation strategies for guiding curriculum framework practice. Subject to this, please confirm your program’s willingness/ability to facilitate the following. Does your program have the following: (Check all that apply)

Is your program set up to receive a blend of in person and virtual support from a pedagogical partner? Please share with us if your program has access to devices (e.g. computers, tablets, etc.) and internet that can support virtual connection between Pedagogical Partners & Educators?*

Is your program involved with other support agency or supports that we should be aware of?*

Fill out this application to apply for support.