NAC Online Renewal Form Online NAC Renewal Form NAC Constituent ID (if known)This number is listed on your current certificateName* First Last Home Mailing Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Home PhoneCellular PhoneEmployer NameEmployer Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Employer PhoneEmployer FaxRenewal Training and Order PlacementIn order to renew your National Administrator Credential (NAC), you must participate in 24 clock hours of director-related continuing education every 2 years. Continuing education must relate to the management and operation of a childcare facility. Please note that trainings related to teaching and the classroom (e.g. arts and crafts, science) will not qualify. Continuing education may include the following areas: ▫ Administration ▫ Health and Safety ▫ Curriculum ▫ Business ▫ Marketing ▫ Management. A detailed list of the NAC Competencies can be found on our website at www.necpa.net.Upload Multiple Certificate/Transcript Files (or fax them to 276.231.0540) Drop files here or Order Placement*Current National Administrator Credential (not expired)1 Month Grace Period (1 – 30 days past your expiration date)2 Month Grace Period (31 – 60 days past your expiration date)3 Month Grace Period (61 – 90 days past your expiration date)4 Month Grace Period (91-120 days past your expiration date)NAC Renewal Forgiveness Fee (Expired Over 4 Months, But Under 1 Year)NAC Renewal Forgiveness Fee (1 Year Expired)NAC Renewal Forgiveness Fee (2 Years Expired)NAC Renewal Forgiveness Fee (3 Years Expired)NAC Renewal Forgiveness Fee (4 Years Expired)Expedite Results? (OPTIONAL)*Yes, email it to me (+$15)Yes, send it USPS First Class (+$15)Yes Both email it and send it via USPS First Class (+$20)No, do not expedite them (+$0)An expedited option allows your application to have priority. Certificates will be sent out in a digital format. If you wish to continue to receive a physical certificate, please choose from the choices below. Please choose from our four options. 1. You may choose to expedite via email which will ensure that a complete application will be processed within 3 business days. 2. You may choose to expedite via USPS First Class mail which will ensure that a complete application will be processed and placed in the mail within 3 business days. 3. You may choose to order expedited and emailed copies. Details above for those options. 4. You may choose not to expedite at all. Total $0.00 Credit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 Expiration Date Security Code Cardholder Name Agreements1) I have included in my NAC Renewal Form, a copy of my previous NAC certificate, a copy of each training, the number of training hours, the instructor's name and title of training. 2) I understand that NECPA will never sell my information to any third parties. However, I authorize NECPA to verify my standing with any third party such as state agencies, prospective employers, etc.Please Print Name To Agree To The Stipulations*CommentsThis field is for validation purposes and should be left unchanged. Δ
