HR Shared Drive: Forms: CDC MQ Eligibility Verification: May2019
MINIMUM QUALIFICATIONS ELIGIBILITY VERIFICATION
APPLICANT NAME:
You must complete sections 1 through 4 to move forward in the application process.
1. Bachelor’s Degree
Bachelor’s Degree (check all that apply):
Early Childhood Education/Child Development
Family and Consumer Sciences
Elementary Education
Early Childhood Special Education which encompasses the following: child development and learning of children-birth through
kindergarten; family and community relationships; observing, documenting and assessing young children; teaching and learning, and
professional practices and development:
OR
Bachelor’s Degree Equivalency:
Bachelor’s Degree in any discipline, with a minimum of 36 college semester units in early childhood education, child development,
elementary education or early childhood special education that encompass the following: child development and learning of children
birth through kindergarten; family and community relationships; observing, documenting and assessing young children; teaching and
learning; and professional practices and development, including relevant field-based experience.
If applying under Bachelor’s degree equivalency, use the chart below to record your Bachelor’s degree and to list coursework that meets the
36 college semester units requirement:
BACHELOR DEGREE OR HIGHER (36 SEMESTER UNITS)
DEGREE
INSTITUTION
DATE
36 semester units:
36 semester units meeting the equivalency requirements above (all grades must be “C” or better).
Term
Course #
Course Title
Institution
Grade
Term
Course #
Course Title
Institution
Sem.
Units
Grade
2. Additional Unit Requirements
Three (3) semester units in infant care.
Three (3) semester units of supervised field experience in ECE/CD setting.
Use the chart below to record your 3 semester units in infant care coursework and 3 semester units of field experience coursework in ECE/CD setting:
(All grades must be a “C” or better) INFANT CARE COURSEWORK (3 SEMESTER UNITS)
Term
Course #
Course Title
Institution
Sem. Units
Grade
Term
Course #
Course Title
Institution
Sem. Units
Grade
(All grades must be a “C” or better) SUPERVISED FIELD EXPERIENCE COURSEWORK (3 SEMESTER UNITS)
Term
Course #
Course Title
Institution
Sem. Units
Grade
Term
Course #
Course Title
Institution
Sem. Units
Grade
3. Pediatric First Aid and Pediatric CPR 4. Master Teacher Permit
Hold a valid Pediatric First Aid and Pediatric CPR card. Hold a Master Teacher permit
Will complete if hired. Meet all requirements to obtain a Master Teacher permit. See
www.childdevelopment.org or call 209-572-6080 for Child
Development permit matrix.