DA Form 5763-R. Child Development Services (Cds) Individual Education Plan (Iep) Family Child Care (Fcc) Provisional Certification Training Record (LRA)

DA Form 5763-R, known as the Child Development Services (CDS) Individual Education Plan (IEP) Family Child Care (FCC) Provisional Certification Training Record, is primarily used within Land Rehabilitation and Development (LRD) projects of the Department of the Army. It functions as a training record for individuals seeking provisional certification to provide child care services in FCC homes.

The form includes sections where aspiring FCC providers document their training related to child development services and the Individual Education Plan (IEP). It allows providers to record training completion dates, topics covered, and any certifications obtained. The form may also include sections for additional comments and recommendations.

Key fields in this form encompass training details, completion dates, and certification information. Accurate completion of the form is essential for documenting the training undertaken by aspiring FCC providers and ensuring that they meet the requirements for provisional certification.

Application Example: An individual pursuing provisional certification as an FCC provider uses DA Form 5763-R to record their training completion in child development services and IEP implementation. The form helps document their qualifications and readiness to provide child care services.

No additional documents are typically needed to complete this form.

Related Form: DA Form 4255 - Family Child Care Certification Application. This form is used by individuals seeking certification as FCC providers to submit their application and supporting documentation.