1.

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* 1. School Readiness Provider Name

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* 2. Person completing the survey

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* 3. Contact information
Phone:

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* 4. Number of staff (FT and PT)

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* 5. Number of staff who have taken or are enrolled in "Brain Research: Ages 0-5" by June 30, 2011.

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* 6. Number of staff who are enrolled or have taken "Brain Research - School age" by June 30, 2011.

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* 7. Number of staff who have not taken "Brain Research: Ages 0-5"

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* 8. Number of staff who have not taken "Brain Research: School age"

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