To submit the Staff Information Form, please send it via email to your designated program coordinator or fax it to the provided number. Ensure it is sent before the program deadlines to avoid any compliance issues. For any physical submissions, drop it off at your local Department of Early Education and Care office.

Important dates for the Staff Information Form in 2024 and 2025 include submission deadlines linked with specific program enrollments and staff evaluations. Stay updated with each program’s timeline to ensure timely submissions. Refer to the Department of Early Education and Care for specific annual requirements.

The purpose of the Staff Information Form is to gather necessary personal and professional information from staff members working in early education settings. This data is pivotal for ensuring compliance with state regulations regarding childcare and education. Moreover, it serves as a record-keeping tool, enabling administrative personnel to verify qualifications and ensure that the highest standards of care are met.

• 1. Program Name: The name of the educational program.
• 2. Name: Staff member's full name.
• 3. Date of Birth: Staff member's date of birth.
• 4. Address: Current residential address.
• 5. Telephone Number: Contact phone number.
• 6. Date of Hire: The date staff member was employed.
• 7. Social Security Number: Staff's optional social security number.
• 8. Current Position: The current job title or position.
• 9. Supervisor's Name: Name of the immediate supervisor.
• 10. Age Group Circle: Selects age groups the staff member will work with.
• 11. Certificate of Qualifications: Indicates if staff member holds required qualifications.
• 12. Licenses and Certifications: List any additional qualifications or registrations.
• 13. EEC Professional Registry Date: Date entered into the Massachusetts EEC registry.
• 14. EEC Educator Orientation Date: Date of completion of EEC orientation.
• 15. Signature: Signature of staff member affirming the document's truthfulness.
• 16. Date: The date on which the form is signed.

Failure to submit this form can result in non-compliance with state regulations, leading to potential penalties. Staff members will not be officially recognized without this documentation, impacting job security and responsibilities.

• Non-compliance: Without submission, the staff member may not meet state requirements for employment.
• Ineligibility for Programs: Staff may be deemed ineligible to participate in state-funded programs.
• Impacts on Employment: Key administrative decisions may be hindered without a completed form.

• 1. New Employee Onboarding: Used when a new staff member joins the program.
• 2. Annual Updates: Necessary for annual verification of staff information.
• 3. Regulatory Compliance: To ensure adherence to state regulations concerning early education.