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Click ‘Get Form’ to open the New York Application for Approval in the editor.
Begin with Schedule 1, where you will enter your personal information including your name, social security number, and mailing address. Ensure that all details are accurate and match your official documents.
In the Credentials section, provide information about your professional licenses and certifications. Make sure the names match exactly as they appear on your licenses.
Complete the Employment History section by detailing your relevant experience working with children under five years old. List at least 1,600 clock hours of service delivery.
Proceed to Schedule 4 to check the early intervention service types you wish to provide. Be thorough in selecting all applicable options.
Finally, review all sections for completeness before submitting. Ensure that signatures are original and that the application is notarized as required.
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