Center 33 No Excels | MSCCA Membership

2020 Annual Center Membership Application & Profile- All Staff are MSCCA Members If you operate more than one Child Care Center, please reproduce this form, complete a membership application and center profile for each Center, and mail them as a group. Please include all centers under common ownership. A copy of your child care license must be submitted with your application. MSCCA is a 501(c)(3) Charitable Organization, EIN:52-1398476

If you need are a renewal and you require an invoice, please email info@mscca.org

Why become a member?

TOTAL NUMBER OF ALL CENTERS IN YOUR ORGANIZATION

Please enter a number from 1 to 100.

MEMBERSHIP STATUS*

New Member
Renewal

EMPLOYEES*

Please enter a number from 1 to 2000.

Total number of employees at this center

MD LICENSE NUMBER*

Please enter your Maryland State License Number for your center

CENTER FUNCTIONS AS

For Profit
Not For Profit

ACCEPT SCHOLARSHIPS (Formerly known as Subsidy Vouchers)

Yes

ACCEPT SCHOLARSHIPS (Formerly known as Subsidy Vouchers)*

Yes
No

LICENSED FOR

Select All
Infant/Toddlers
Two's
Three's
Four's
School Age

Infant/Toddlers Licensed Capacity

Two's Licensed Capacity

Three's Licensed Capacity

Four's Licensed Capacity

School Age Licensed Capacity

OCC License Capacity*

CENTER/PROGRAM CONTACT NAME

First Last

TITLE

NAME OF CENTER/PROGRAM:*

Address*

Street Address Address Line 2 City State ZIP Code

COUNTY*

Phone*

Email

CENTER WEBSITE

OWNER'S NAME

First Last

OWNER'S EMAIL

Enter Email Confirm Email

MEMBERSHIP DUES FOR CALENDAR YEAR 2020

Center Membership and benefits includes all staff employed in your program as members.
Copy your center/program membership certificate for ALL staff and use for Professional Activity Units, discounts for training and more.

Membership Dues

Price: $105.00

Donation to Government Relations -Advocacy for Members Fund

MSCCA is respectfully requesting an additional donation of $50.00 for programs of 50 or less children; or an additional donation of $85.00 for programs with 51 or more children, to fund the Professional Government Relations Lobbyists for the 2020 Legislative Session (Annual Fee for Compass Government Relations is $38,450.00).

Optional: MSCCA Passion for Excellence Grant/Scholarship

Tax Deductible Donation. MSCCA Members only are eligible to receive grant. All donations go directly back to our MSCCA programs/providers. Choose your donation amount.

Optional: National Child Care Association Annual Dues = $22.00

Total Amount Due

$0.00

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Center Membership Application (33 or Less Capacity)

MEMBERSHIP DUES FOR CALENDAR YEAR 2020