Reaching for the Stars - Oklahoma Department of Human Services

Section 2. Action
Date you expect to meet the criteria:
Describe your plans for meeting the criteria. Be specific.
Attached are supporting documents, such as training certificates or transcripts, letter
from accrediting agency.
If you are requesting an extension to meet the master teacher criteria, submit a current
equipment inventory and official floor plan from OCCS listing the total square footage
and ages in each classroom.
I understand failing to submit a timely and/or incomplete request may result in
the denial of my request.
Signature of owner, director or primary caregiver
Date
For Oklahoma Child Care Services use only
Date received Stars specialist Extension granted Date of extension
Yes No
Licensing specialist Supervisor County/zip Number of request
Star level Star history Database update
Computer update
Other
Consultant
Child Care Centers 36 Effective 7/1/12