Family Central Inc.

Summer 2012 and School Year 2012-2013 Provider Registration

• Provider Packet (NEW) 
• AWI- VPK 10 & 11 State Instruction Guide (NEW)                                   
• AWI-VPK 10 Statewide Provider Registration Application (NEW)
• VPK Signature Authorization Form (New)
  (Original signature and notarization required)  
• Actual vs Advance Payment Form (NEW)
  (Original signature required)

School Year 2011-2012 Provider Registration

• AWI-VPK 10 Statewide Provider Registration Application
• School Year 2011-2012  Provider Registration Packet      
• AWI -VPK 11A Class Registration Application-Instructors
• AWI-VPK 11B Class Registration Application- Calendars  
• AWI-VPK 20 Statewide Provider Agreement (2011-2012)  
• Provider Agreement-Notification Requirements  
• Attachment 29a CLASS TRANSFER OF A CHILD AT SAME LOCATION  
• Attachment 29b1 CHANGES TO STATEWIDE PROVIDER REGISTRATION APPLICATION-(FORM AWI-VPK-10)  
• Attachment 29b2 CHANGES TO CLASS REGISTRATION APPLICATION – INSTRUCTORS (FORM AWI-VPK-11A)  
• Attachment 29c CHANGES TO CLASS REGISTRATION APPLICATION – CALENDARS (AWI-VPK-11B)  
• Attachment 29d TEMPORARY CLOSURE AND SUBSEQUENT REOPENING OF THE PROVIDER’S VPK SITE WHICH IS BEYOND THE PROVIDER’S CONTROL  
• Attachment 29e DISMISSAL OF CHILD FROM THE VPK PROGRAM  
• Attachment 29f PERMANENT CLOSURE OF THE PROVIDER’S VPK SITE  
• Att B - Withdrawal of Child by Parent  
• Exhibit A - Information for Low Performing Provider  
• Exhibit B - Protocol (Overpayment)  
• Exhibit C - Attachments 1-4  
• Exhibit D - Attendance & Payment Verification  
• Affidavit of Good Morals