In which term are you interested in starting?
Legal First Name
Middle Initial
Legal Last Name
Do you have any previous names?
Please list any/all previous names that may appear on a transcript.
SSN
Date of Birth
Street Address
Zip
City / Town
State
Email
Phone
This certification is only valid for the State of Connecticut
Have you served in the U.S. Military or are you a military spouse?
Select Military Branch
Select a Military Status
Citizenship
Please select your Government Recognized Gender Marker
Please indicate how you identify yourself (choose one or more)
You are required to request official transcripts from all of the Colleges/Universities you attended.
Are you currently employed?
Employer Name
If you do not see your employer listed in the drop down, please select Employer Not Listed.
Please specify employer and location
As part of the ARC-ECE Application process, we require the following 2 documents in either a Word (.doc, .docx) or PDF (.pdf) format.
1) Experience: Provide a list of all early childhood programs you have worked for. Include program name, address, phone, dates of employment, position and supervisor name.
2) Reasons/Vision: In one document, answer the following:a) Why do you want to complete an alternate certification in Birth-5 at Charter Oak State College? (One page suggested)b) Describe your vision of a high quality early childhood classroom. (One or two pages suggested)
By submitting this form, I confirm that the information provided on this form is accurate and complete, and subject to the policies and procedures of Charter Oak State College and the Connecticut Board of Regents.
Program
counselor