Membership Application

Calaveras Child Care Council Application for Membership Appointment

Name

Agency

Mailing Address

Phone Number

Categories for Appointment

Appointments to the Calaveras Child Care Council (CCCC) are recommended by the CCCC and approved by the Calaveras County Board of Supervisors and the Calaveras Superintendent of Schools. Members must live or work in Calaveras County. Twenty percent of the CCCC members shall be drawn from each of the following categories: Child Care Provider, Child Care Consumer, Community Representative, Public Agencies, and Discretionary. Please indicate which categories you could represent.

Consumer of Child Care Services

Has used child care within the past 36 months or is currently using child care.

Are you currently receiving child care?

Yes No

Date you last used child care

Name of provider or facility

Child Care Provider

Please check the type of care you provide

licensed family care provider licensed child care center license exempt child care provider

City or town

Community Representative

A person who represents an agency or business that provides private funding for child care services, or who advocates for child care services through participation in civic or community-based organizations but is not a child care provider and does not represent an agency that contracts with the California Department of Education to provide child care and development services.

Organization

Location of Agency

Service Area

Public Agency Representative

Includes city, county and local education agencies.

Agency

City or Town

Discretionary Category

Appointed from any of the above categories or outside of these categories at the discretion of the Council. Please describe:

Please state your previous experience/background, which you feel will be of benefit to your serving on this Council.

State your reason for wanting to serve on this Council.

Please describe related organizations with which you are currently involved.

MEMBER RESPONSIBILITIES

Members are expected to attend regular monthly meetings on the third (3rd) Tuesday of each month from 9:00 AM to 10:30 AM, participate in additional meetings for training and Council business. Are you able to commit to regular participation, given this schedule?

YES NO

I understand, if appointed, I will be required to submit a Conflict of Interest form to the Calaveras County Elections Department for public record, and will participate in required trainings.

Please list two references and their phone numbers that will support your position on the Council

Name

Phone

Name

Phone

Date

Signature

Membership of Local Child Care and Development Planning Council

In the event of vacancies on the Calaveras Child Care Council the Board of Supervisors and the Superintendent of Schools shall each appoint one-half of the members. The Calaveras Child Care Council shall recommend possible candidates to fill these vacancies. The Calaveras Child Care Council shall be comprised of a total of ten members. Calaveras County Child Care Council Bylaws, Article IV, Sections 1and 3

Pursuant to statutes, Education Code, Sections 8499.3 and 8499.5, both County Boards of Supervisors (CBS) and County Superintendents of Schools (CSS) are mandated to be involved in the local child care planning process. Specifically, the CBS and CSS are directed to:

• Appoint members to the LPC according to the guidelines prescribed in statute;

The statute provides guidelines for the composition of the LCCPC membership and how appointments are made. The statute specifically requires that every effort should be made by the appointing agencies to assure that the ethnic, racial, and geographic composition of the LCCPC is reflective of the population of the county. Members shall be appointed from each of the five following categories of representation:

• 20 percent Consumers, defined as a parent or person who receives, or who has received within the past 36 months, child care services.

• 20 percent Child Care Providers , defined as a person who provides child care services or represents persons who provide child care services.

• 20 percent Public Agency Representatives, defined as a person who represents a city, county, city and county, or local education agency.

• 20 percent Community Representatives, defined as a person who represents an agency or business that provides private funding for child care services, or who advocates for child care services through participation in civic or community-based organizations but is not a child care provider and does not represent an agency that contracts with the California Department of Education to provide child care and development services.

• 20 percent Discretionary Appointees are to be appointed from any of the above categories or outside of these categories at the discretion of the appointing agencies.