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* 1. What is your role in your organization?

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* 2. Which of the following best describes the type of your early care and education program?

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* 3. What is your program name?

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* 4. How long have you worked in the early education and care industry?

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* 5. Please select your county

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* 6. What is your First name?

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* 7. What is your Last name?

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* 8. What is the Director's name (if not person filling out the survey)?

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* 9. What is the Director's email (if not person filling out the survey)?

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* 10. Please select all that apply. My program is interested in joining:

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