Welcome to the Monthly Early Childhood Specialist Reporting System. This is only to document the work of the Early Childhood Specialist and should not include numbers from other therapists working with young children. If this position is half time and funded by another source, reporting should only include children served under the state early childhood funding. This position is directed toward non-medicaid children. However, Medicaid children may be included in screening and classroom interventions. Please complete all of the questions on this form. When you have finished click on the word "Submit" at the bottom of the form. Thank you.

What is your last name? (fill in space below)

What is your first name? (fill in space below)

What is your position title? (fill in space below)

What is the name of your Center? (fill in space below)