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Farm to ECE
Child Care Facility Farm to ECE Site Information
Please fill out the form below if you are interested in your child care facility participating in the Farm to ECE program.
OK
1.
Childcare Facility Name
2.
Childcare Facility Type (Family Childcare Home, Head Start, Corporate, etc.)
3.
Star Rating
4.
NC Pre-K Site
Yes
No
5.
Meals
On Site Meal Prep
Catered Meals
6.
Name of Catered Meal Company (if catered meals chosen on #5)
7.
Our child care facility has permission to make changes to our property
Yes
No
8.
Is your childcare facility in operation 12 months a year
Yes
No
9.
Number of teaching staff currently working with children ages birth to 5 (not including kindergartners)
10.
Total # of children enrolled (ages birth-5 years)
11.
# of children enrolled up to 12 months of age
12.
# of children enrolled ages 1-2
13.
# of children enrolled ages 3-5
14.
# of children birth-5 years currently receiving subsidy
15.
Has your center ever participated in any of the following health-related plans? (Yes or No)
Go NAP SACC
Child Care Health Consultant
Natural Learning Initiative
Be Active Kids
Other: Please Describe
16.
If applicable, list the date you began working with the program below. Also, supply whether the program is ongoing or the date the program ended.
Go NAP SACC
Child Care Health Consultant
Natural Learning Initiative
Be Active Kids
Other
17.
Does your facility have an edible garden that is used as an educational tool?
Currently Engaged in this activity
Not currently participating in this activity but is interested in doing so
Not currently participating and not interested in this activity
18.
Does your facility have an edible garden that produces food for meals and snacks?
Currently engaged in this activity
Not currently participating in this activity but is interested in doing so
Not currently participating and not interested in this activity
19.
Does your facility have a culturally relevant curriculum that addresses racial equity?
Currently engaged in this activity
Not currently participating in this activity but is interested in doing so
Not currently participating and not interested in this activity
20.
Do parents lead or support Farm to ECE activities?
Currently engaged in this activity
Not currently participating in this activity but is interested in doing so
Not currently participating and not interested in this activity
21.
Is your facility connected to a local farmer through a farm field trip, a farmer visit to a classroom or to lunch, at least once a year?
Currently engaged in this activity
Not currently participating in this activity but is interested in doing so
Not currently participating and not interested in this activity
22.
Do classrooms cook with or taste local food at least 2 times a year?
Currently engaged in this activity
Not currently participating in this activity but is interested in doing so
Not currrenly participating and not interested in this activity
23.
Does your kitchen use local food as part of meals or snacks at least two times a year?
Currently engaged in this activity
Not currently participating in this activity but is interested in doing so
Not currently participating and not interested in this activity
Current Progress,
0 of 23 answered