Membership Application

Name

Phone

How did you hear about us?

Tell Us About Yourself

Other details

Please provide a brief professional or personal biography.

Problems Worth Solving

One of the goals of EC NIC is to identify and address persistent challenges across early childhood systems.

What challenges, questions, or opportunities are most important to you right now?

Are there specific initiatives, projects, or improvement efforts you are currently involved in?

Participation Preferences

How would you like to participate?

Core Member I would like to participate regularly in EC NIC activities and cohort based improvement work. Learning Partner I would like to participate in selected learning opportunities and activities as my interests and schedule allow. Not Sure Yet I would like to learn more before selecting a membership option.

What do you hope to gain from participating in EC NIC?

Community Directory (Optional)

To help members connect and learn from one another, EC NIC may create a member directory.

Would you be willing to have your name, organization, role, bio, and photo included in a member directory?

Yes No

Photo Upload (Optional)

Drag and drop or click to select a file.

Final Question

Is there anything else you would like us to know?

Agreement

I understand that EC NIC is a collaborative learning and improvement community and that participation is voluntary. I understand that EC NIC may use aggregated information from member activities, feedback, and improvement efforts to support learning, evaluation, publications, presentations, and systems improvement efforts. Individual participants will not be identified without permission.

Submit Application

Thank you for your interest in joining the Early Childhood Networked Improvement Community.