Form Cd 9605 PDF Details

Accessing child development services in California hinges on the precise completion and timely submission of the CD 9605 form, a crucial document facilitated by the California Department of Education's Child Development Division. This form serves as a gateway for parents or caretakers who are pursuing education or training, enabling them to demonstrate their eligibility for various child development services. It requires detailed information about the parent or caretaker's training or education plans, including the institution's validation through signature and stamp. The process outlined by the CD 9605 form involves several steps: completing all requested information, having the educational or training facility verify the information, and returning the form to the relevant child development service provider within a two-week timeframe. This procedure underscores the state's commitment to supporting child development by ensuring that caregivers pursuing educational or vocational goals can secure necessary services for their children. The specifics, such as name, contact information, class schedule, and anticipated completion dates, are all critical components that the form captures. Its association with the CD-9600 form underlines the comprehensive approach taken to gather all pertinent data to facilitate these services. Notably, the functionality of this form within the framework of Stanislaus County Office of Education/Child/Family Services/Alternative Payment Programs exemplifies a localized commitment to facilitating educational opportunities for parents and caretakers, thus ensuring holistic child development support.

QuestionAnswer
Form NameForm Cd 9605
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namestraining verification cd 9605 california department of education child development division form cd 9605

Form Preview Example

CALIFORNIA DEPARTMENT OF EDUCATION

NOTE: When applicable, this form is to be completed

CHILD DEVELOPMENT DIVISION

and used with form, CD-9600.

Form CD-9605, (Revised: 02/04)

 

TRAINING VERIFICATION -

Please print or type information.

PARENT OR CARETAKER ATTENDING

SCHOOL OR RECEIVING TRAINING

DATE

INSTRUCTIONS

Determining eligibility for child development services requires that the parent or caretaker do the following:

1.Complete all information requested.

2.When completed, take this form to the school or organization where the training or education will be received.

AGENCY

3.Request that the registrar (or his/her designee) verify the training plan as described by signing and stamping this form.

4.Return this form within two weeks to the agency that will provide the child development services listed below.

Stanislaus County Office of Education/Child/Family Services/Alternative Payment Programs

1324 Celeste Drive, Modesto, CA 95355

(209)238-6300

FAX (209)238-6499

 

 

 

 

PARENT OR CARETAKER'S NAME (last, first, middle)

 

 

TELEPHONE NO.

 

 

 

(

)

 

 

 

 

 

STREET ADDRESS

CITY

 

 

ZIP CODE

 

TRAINING/EDUCATION INFORMATION

 

 

NAME OF SCHOOL OR ORGANIZATION WHERE TRAINING/EDUCATION IS RECEIVED

 

TELEPHONE NO.

 

 

 

(

)

STREET ADDRESS

CITY

 

 

ZIP CODE

 

 

 

DATE THIS TERM BEGAN

DATE THIS TERM ENDS

ANTICIPATED COMPLETION DATE FOR TRAINING/EDUCATION

 

 

 

 

 

PROFESSIONAL OR VOCATIONAL GOALS

 

 

 

 

CLASS SCHEDULE (if applicable)

DAY

TIME

ROOM NO.

COURSE NAME

1.

2.

3.

4.

5.

6.

7.

8.

UNITS

SIGNATURE OF PARENT OR CARETAKER

DATE

 

 

SIGNATURE AND STAMP OF REGISTRAR OF SCHOOL/ORGANIZATION

DATE