Self-Report Form

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Please submit the Self Report form to request changes to a program's primary, secondary, and additional contacts which will be reflected on the contacts profile in the Accreditation Portal.

If you are requesting a Program ID# to begin the accreditation process, we will use the information entered below to create the new account. 

You must register your email address with the Accreditation Portal for Early Learning Programs prior to completing this form. Please note, you cannot share an email address. Only one email address can be used per person.

Do you already have a Program ID Number?
Select your current role for accreditation purposes. A program can have only one primary contact, one secondary contact and three additional contacts. Primary and Secondary contacts have full access to the Accreditation Portal. Additional contacts have limited access.
List current role
Are you removing anyone from your contact profile in the Accreditation Portal?
Are you removing any contacts
If yes, indicate any individual(s) that should be removed from your program’s contact profile. Note that if an existing role in the Portal was replaced with a new contact, the old contact will automatically be removed. Please list the name and email address of the contact you are removing from the Accreditation Portal.

If you are experiencing portal issues, please email