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2020 INA Service Award Pin Application
Thank you for applying for an INA Service Award Pin.
The 2020 INA Service Award Pin Application Deadline is January 15, 2020
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* Indicates required question
Name
*
Your answer
Business Name (if applicable)
Your answer
Email address
*
Must be the email address associated with your INA Membership account
Your answer
Phone number
*
Your answer
Website (if business)
Your answer
What type of membership do you hold with the INA?
*
Professional Caregiver
Newborn Care Specialists
Support Group
Business Staff
Placement Agency
Educator
Industry Service
Online Recruiting Platform
Premium
I am a:
*
First Time Pin Recipient
Returning Pin Recipient
Service Award Pin YEAR Bar Requested: *
*
Bars are only given for years of in-home child care and industry experience.
5 years
10 years
15 years
20 years
25 years
30 years
35 years
40 years
45 years
50 years
If you wish to purchase missing bars to complete your set tell us what year(s) bars you want.
These are bars are $6 each and you will be invoiced for the extra cost. You can only purchase the numbers under what you are applying for.
5 year
10 year
15 year
20 year
25 year
30 year
35 year
40 year
45 year
Years of experience in the nanny industry (as of April 30, 2020)
*
Please note that years of nanny experience begins at age 18. Experience must only be related to care provided in the family's home. (Daycares, family daycare not included)
Your answer
Professional Affiliations and Community Involvement
*
Nanny Support Group, Better Business Bureau, National/International OrganizationsAwards, Honors, Special Recognition's:
Your answer
Biography
*
Please copy and paste your biography in this section. 200-225 words and in third person. If you have difficulty including bio here, please email to
info@nanny.org
subject and enter "emailing" in the space below.
Your answer
Reference 1
*
Provide the full name and email address as well as how you know this person. One Reference must be an INA Member.
Your answer
Reference 2
*
Provide the full name and email address as well as how you know this person. One Reference must be an INA Member.
Your answer
Reference 3
*
Provide the full name and email address as well as how you know this person. One Reference must be an INA Member.
Your answer
Acknowledgement
*
By submitting this application, I am stating that all information provided is true and accurate to the best of my knowledge. I agree to abide by INA’s Commitment to Professional Excellence and Recommended Practices. I understand that the Service Award Pin Committee will verify my INA membership is current, and that payment has been made. I attest that the information provided is true and accurate. I understand that if the committee finds out that I have included falsified information or my work history does not qualify me for the pin I am applying for, my application will be rejected.
Yes
No
Checklist
*
Use this as your checklist to make sure you have completed all needed parts of your 2020 Service Award Pin Application. Other information should be emailed to
info@nanny.org
with the subject "Pin Application - [yourname]."
My INA Membership is current. If it expires before May 3, 2020, I will commit to renewing on time.
My bio is between 200-250 words, in third person, and attached in this form or being emailed separately.
I have emailed my one page work history or history of my educational and/or professional background or I will by January 15, 2020.
I have emailed my professional headshot and it is not a selfie and does not include anyone else or I will by January 15, 2020.
My references include at least 1 INA member.
I have purchased my $30 application fee at
http://nanny.org/shop/
or will before January 15, 2020. I understand my application is not complete until payment has been made.
I understand that since I am applying at this time, I must attend the 2020 INA Annual Conference to receive my pin in person.
I understand that the "in-home child care industry" refers to individuals who work in the home of their employer.
I understand INA Service Award Pin may request additional references.
Required
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