2017 Fall REWARD$ Application
You will need your current Registry Participant Education and Professional Development Report (PD Report) to complete some of the application information. This will give you an opportunity to make sure your Registry account information is complete and up to date.
Email address
Last Name - Your legal last name (as it appears on your federal or state form of ID)
Your answer
First Name - Your legal first name (as it appears on your federal or state form of ID)
Your answer
Email Address
Your answer
Mailing Address (Street Address or PO Box)
Your answer
Mailing Address (City)
Your answer
Mailing Address (Zip Code)
Your answer
Telephone Number - A reliable daytime contact phone number. Example (xxx) yyy-zzzz
Your answer
Date of Birth - Applicants must be at least 18 years of age and be lawfully present in the U.S.
MM
/
DD
/
YYYY
First Things First Regional Partnership Council (RPC) - You must be working in one of these regions to be eligible for a REWARD$ incentive.
Required
Registry Participate Number
Your answer
Employer Registry ID Number - From your PD Report
Your answer
Employer Name - From your PD Report
Your answer
Employer Telephone Number
Your answer
Employer Street Address
Your answer
Employer City
Your answer
Employer Zip Code
Your answer
Position Title - If your position title does not match one of the choices, you will need to contact the REWARD$ office.
Required
What is your hourly wage?
Your answer
How many hours per week do you work?
Required
How many weeks per a year do you work?
Required
When did you start working for your employer?
MM
/
DD
/
YYYY
Registry Career Lattice Level - From your PD Report. Your REWARD$ incentive is based on your Lattice level
Required
Does your Current Professional Development Report have the Correct Lattice Level?
Required
If NO, what is your Center/Home Quality First Number?
Your answer
I have received a REWARD$ incentive in the Last Year - July 1, 2016 - June 30, 2018?
Required
I have received a FTF Scholarship Bonus in the Last Year - July 1 , 2017 - June 30, 2017?
Required
Have you completed the required documents? PD Report, W-9, Statement of Lawful Present and Formal State, Tribal or Federal Identification can be found at http://azearlychildhood.org/advance-your-career/reward
Required
Have you submitted all required documents to azftfrewards@azearlychildhood.org?
Required
Send in your Updated PD Report
Send in your W-9 - With a Written Signature
Send in your Statement of Lawful Presence & ID
List of Formal State, Tribal or Federal Identification - Copy Front and Back
A copy of your responses will be emailed to the address you provided.
Please complete the captcha before submitting the form.
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