Survey

Dear Lead CCR&R Agency Project Coordinators,

The Early Childhood Professional Development (ECPD) Regional Planning Project Meeting Notes e-form is designed to capture the process unfolding in each region to inform the process and to share the regional efforts with partners and funders.

NOTE YOU MUST ANSWER ALL QUESTIONS AND COMPLETE THE FORM IN ONE SITTING. YOU WILL BE ABLE TO PREVIEW ("PREV") YOUR REPORT BEFORE YOUR SUBMIT IT. YOU WILL NOT BE ABLE TO RE-ENTER YOUR SURVEY TO ADD ADDITIONAL INFORMATION ONCE YOU CLICK ON THE "DONE" BUTTON.

Please complete this form for each meeting and submit it within two weeks of the regional meeting.

Insert your meeting information in each section (all sections must be completed for each meeting held) and add additional notes at the end of the document.

Additional attachments from each meeting may be emailed to ecpdinstitute@gmail.com. Please include the region number and date of the meeting in the file name and at the top of each document, thanks.

For technical assistance with this form, please contact Debra Torrence, Director of the NC Institute for Early Childhood Professional Development at ecpdinstitute@gmail.com or call 919-244-7243.

Thank you!

Enter your contact information. Name of Project Coordinator:
Name of Lead CCR&R Agency:
Coordinator's Email Address:
Coordinator's Telephone:
Facilitator's Name:

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Meeting Schedule	Average the responses for each item. Place the average in the columns below. You may enter only whole numbers (round up or down)and add the actual averages for each item and comments below. Meeting Schedule 1	Meeting Schedule 2	Meeting Schedule 3	Meeting Schedule 4	Meeting Schedule 5
Meeting Environment	Meeting Environment 1	Meeting Environment 2	Meeting Environment 3	Meeting Environment 4	Meeting Environment 5
Meeting Materials	Meeting Materials 1	Meeting Materials 2	Meeting Materials 3	Meeting Materials 4	Meeting Materials 5
Focus	Focus 1	Focus 2	Focus 3	Focus 4	Focus 5
Participation	Participation 1	Participation 2	Participation 3	Participation 4	Participation 5
Contribution	Contribution 1	Contribution 2	Contribution 3	Contribution 4	Contribution 5
Meeting Behavior	Meeting Behavior 1	Meeting Behavior 2	Meeting Behavior 3	Meeting Behavior 4	Meeting Behavior 5
Respecting All Voices	Respecting All Voices 1	Respecting All Voices 2	Respecting All Voices 3	Respecting All Voices 4	Respecting All Voices 5
Results	Results 1	Results 2	Results 3	Results 4	Results 5
Overall Satisfaction	Overall Satisfaction 1	Overall Satisfaction 2	Overall Satisfaction 3	Overall Satisfaction 4	Overall Satisfaction 5

NC ECPD Regional Planning Project Meeting Notes (due within 2 weeks of meeting)

1. Enter your contact information.

2. Check below the number associated with your CCR&R region.

3. Does this report contain information about a 5th or an additional meeting?

4. Please share the date and time of the meeting.

5. Please share the names AND roles of each person (re: family child care provider, CCCR&R representative) of meeting attendees.

6. Please insert your meeting agenda here.

7. Average the responses for each item. Place the average in the columns below. You may enter only whole numbers (round up or down)and add the actual averages for each item and comments below.

8. What state level strategies have been identified/generated.

9. What local level strategies have been identified/generated.

10. Please include a bulleted (use a dash as a bullet for each item) list of strengths (and resources) identified during the meeting. If this area was not covered during this meeting, please note below. Writing not applicable is allowed.

11. Please include a bulleted list of weaknesses identified during the meeting. If this area was not covered during this meeting, please note below. Writing not applicable is allowed.

12. Please include a bulleted list of opportunities identified during the meeting. If this area was not covered during this meeting, please note below. Writing not applicable is allowed.

13. Please include a bulleted list of threats (and barriers) identified during the meeting. If this area was not covered during this meeting, please note below. Writing not applicable is allowed.

14. Share what the team learned or discovered during the meeting. This could include everything from changes to meeting format to a missing voice to a moment of realization.

15. Note what the team needs to collect, review, have help with, etc. to prepare for our next meeting.

16. Our next meeting will occur on (include date and time and location).

17. If the team spent time visioning what 2015 would look like re: early childhood professional development, please insert an overview or bullets to share ideas generated by members below.

18. Has a vision for 2015 emerged for early childhood professional development in your region?

19. Action steps for the next meeting include....

20. The next three questions are the same and provide three boxes to support sharing stories or quotes provided by providers or partners. Enter as many as you will fit in the box!

21. Please share stories or quotes provided by providers or partners below. Enter as many as you will fit in the box!

22. Please share stories or quotes provided by providers or partners below. Enter as many as you will fit in the box!

23. Please include additional details about the meeting, identified needs or other comments below.