QRIS 101 Forum: 2018-2019

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* 1. Name

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* 2. Email

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* 3. Phone, with area code

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* 4. State or Territory

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* 5. Organization

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* 6. Role/Title

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* 7. How long have you been in your current position?

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* 8. What is your goal for participating in this opportunity?

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* 9. How will your participation benefit your state or territory?

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* 10. Do you have support from your state or territory CCDF Administrator to participate in this opportunity?

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* 11. In thinking about possible topics for discussion, please indicate your first, second and third choice topics.

	First Choice	Second Choice	Third Choice
Coaching and technical assistance – implementation, models and monitoring	Coaching and technical assistance – implementation, models and monitoring First Choice	Coaching and technical assistance – implementation, models and monitoring Second Choice	Coaching and technical assistance – implementation, models and monitoring Third Choice
Coordinated monitoring	Coordinated monitoring First Choice	Coordinated monitoring Second Choice	Coordinated monitoring Third Choice
Culturally and linguistically responsive practices	Culturally and linguistically responsive practices First Choice	Culturally and linguistically responsive practices Second Choice	Culturally and linguistically responsive practices Third Choice
Data systems and data collection	Data systems and data collection First Choice	Data systems and data collection Second Choice	Data systems and data collection Third Choice
Developing or revising quality indicators	Developing or revising quality indicators First Choice	Developing or revising quality indicators Second Choice	Developing or revising quality indicators Third Choice
Effectively engaging families	Effectively engaging families First Choice	Effectively engaging families Second Choice	Effectively engaging families Third Choice
Establishing cross system partnerships	Establishing cross system partnerships First Choice	Establishing cross system partnerships Second Choice	Establishing cross system partnerships Third Choice
Evaluation	Evaluation First Choice	Evaluation Second Choice	Evaluation Third Choice
Family child care participation	Family child care participation First Choice	Family child care participation Second Choice	Family child care participation Third Choice
Financing	Financing First Choice	Financing Second Choice	Financing Third Choice
Decision making and governance	Decision making and governance First Choice	Decision making and governance Second Choice	Decision making and governance Third Choice
Head Start and cross-sector participation	Head Start and cross-sector participation First Choice	Head Start and cross-sector participation Second Choice	Head Start and cross-sector participation Third Choice
Leveraging community capacity to support sustainability or expansion efforts	Leveraging community capacity to support sustainability or expansion efforts First Choice	Leveraging community capacity to support sustainability or expansion efforts Second Choice	Leveraging community capacity to support sustainability or expansion efforts Third Choice
QRIS structure and staffing	QRIS structure and staffing First Choice	QRIS structure and staffing Second Choice	QRIS structure and staffing Third Choice
Recruitment and retention strategies	Recruitment and retention strategies First Choice	Recruitment and retention strategies Second Choice	Recruitment and retention strategies Third Choice

Other (please specify)

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* 12. Comments.....