Literacy Week 2017 Question Title * 1. Are you interested in hosting a special guest reader at your early learning site during the week of January 23-27, 2017? Yes No Maybe Question Title * 2. Provider Type Center Family Child Care Home Question Title * 3. FOR CENTERS: How many classrooms do you have by age group listed below? Number of Classrooms Infants 0 1 2 3 4 5 6 7 8 9+ Infants Number of Classrooms menu Ones 0 1 2 3 4 5 6 7 8 9+ Ones Number of Classrooms menu Twos 0 1 2 3 4 5 6 7 8 9+ Twos Number of Classrooms menu Threes 0 1 2 3 4 5 6 7 8 9+ Threes Number of Classrooms menu Fours/VPK 0 1 2 3 4 5 6 7 8 9+ Fours/VPK Number of Classrooms menu Question Title * 4. FOR FCCH'S: How many children in each age group do you have at your Family Child Care Home? Number of Children Infants 0 1 2 3 4 5 6 7 8 9+ Infants Number of Children menu Ones 0 1 2 3 4 5 6 7 8 9+ Ones Number of Children menu Twos 0 1 2 3 4 5 6 7 8 9+ Twos Number of Children menu Threes 0 1 2 3 4 5 6 7 8 9+ Threes Number of Children menu Fours 0 1 2 3 4 5 6 7 8 9+ Fours Number of Children menu School Age 0 1 2 3 4 5 6 7 8 9+ School Age Number of Children menu Question Title * 5. Contact Information School Name: * Contact Name: * Address: Address 2: City/Town: ZIP: Email Address: * Phone Number: * Question Title * 6. Comments Done
