The Nevada Registry office will be closed on Friday, May 19, 2017, in order for staff to attend the NevAEYC Early Childhood Conference in Las Vegas. Regular office hours will resume on Monday, May 22nd at 8:00 am. All phone calls and email messages will be promptly responded to at that time. 

If you're attending the conference, please be sure to stop by our table in the exhibit hall to meet and visit with the Registry staff!

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Registry Forms and Downloads

A number of forms related to Registry program participation and the training approval system are located throughout our website. While we invite you to browse completely through the pages to find more specific and comprehensive information about the intended purpose of each form, the quick links to the documents below are available to help you find exactly what you are looking for in one easy step! Links to additional related Registry resources and professional development tools are also provided on this page. Please contact a Registry Associate at (800) 259-1906 or by email if you are unsure about which form you need and/or if you aren't finding what you are looking for.

 

All forms are in Adobe® Acrobat Reader format. Download free Acrobat® Reader software.  Note: The majority of our membership forms are available as a fillable PDF form which allows you to type your information directly into the form rather than having to handwrite your information. However, forms cannot be submitted online/electronically. Please complete your form, print it out and mail it to our office with all applicable support documentation.
 
Membership with The Nevada Registry is FREE; however, fees are in place for late renewals and several other enhanced services. Payment can be made by check, money order or credit card/PayPal. A $25 fee will be charged on all returned checks. All fees paid are non-refundable. No cash accepted.
 
 

Membership Forms

Whether you are applying to the Registry for the first time or simply need to renew/update your file, you will find everything you need to complete the process right here! Please contact a Registry Associate at (800) 259-1906 or by email if you are unsure about which form you need and/or if you aren’t finding what you are looking for. 
  • Membership Application - No Charge
    Use this form if you are applying for the first time. 
  • On-Time Renewal - Update/Renewal Form - No Charge
    Use this form if you are renewing your membership prior to, or within 30 days of your certificate expiration date. There is no fee for renewing on-time.
  • LATE Renewal - Update/Renewal Form - $25
    Use this form if your membership has been expired for 30 or more days beyond the expiration date listed on your Certificate of Acheivement. Please note that the $25 payment must be submitted WITH your late renewal form. Forms received without applicable payment will be returned and you will not be in compliance with Child Care Licensing until a complete renewal form and payment is received.  
      
 
  • Career Ladder Level Re-Evaluation Form - $20
    Career Ladder re-evaluations occuring in conjunction with your scheduled annual renewal are completed at no cost. The cost to re-evaluate Career Ladder levels mid-year for any other reason than the recent completion of college courses and/or an ECE degree that will result in a Career Ladder increase (i.e. to factor in documentation that was not originally submitted with your initial application or most recent renewal, etc.) is $20.
       Click on the 'Pay Now' button below to submit payment for a Career Ladder Level Re-Evaluation.  Note: Follow up your payment by faxing (775-857-3158) or emailing (nevadaregistry@washoeschools.net) your completed Career Ladder Level Re-Evaluation form to The Nevada Registry. Your request cannot be processed until a completed request form is received, even if payment has already been submitted.
     
     
  • Request for Replacement Nevada Registry Membership Certificate - $10
    The cost to obtain a replacement certificate packet is $10. Each replacement certificate packet includes your Registry membership certificate, membership card, Professional Development Profile (summary of all Registry-approved training on file) and Training Transcript (if applicable).   
 Click on the 'Pay Now' button below to submit payment for a Replacement Membership Certificate.
Note: Follow up your payment by faxing (775-857-3158) or emailing (nevadaregistry@washoeschools.net) your completed Request for Replacement Certificate form to The Nevada Registry. Your request cannot be processed until a completed request form is received, even if payment has already been submitted.
     
  • Request for Replacement Documentation – No Charge
    Copies of the documents you have provided to The Nevada Registry at the time of application or renewal are provided at no charge (transcripts, training certificates, diplomas, etc.). If you need a replacement Certificate of Achievement (i.e., Nevada Registry Membership Certificate), please complete the ‘Request for Replacement Certificate’ form (above). The cost to obtain a replacement membership certificate packet is $10.
 

Registry Downloads


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