Skip to content

Early Care and Education (ECE) Provider Interest Form
Let's Be HEROs Technical Assistance Program & Go NAPSACC

Thank you for expressing interest in Go NAPSACC in Florida and the Let's Be HEROs Technical Assistance Program!

We work with partners across the state to offer free technical assistance and training to support you on your journey towards providing a healthier environment for the children and families you serve.

Once your interest form is submitted, we will connect you with one of our technical assistance consultants. Our consultants will provide you with ongoing coaching and technical assistance using the Go NAPSACC platform. Go NAPSACC is a set of easy-to-use online tools and an online library of helpful videos, activities, and flyers. 

By entering my personal information, I consent to receive email communications from the survey author's organization based on the information collected.
Contact Information
1.First & Last Name
2.Title
3.Phone Number (Work)
4.Mailing Address 
5.What county is your ECE program located in?
6.Email Address
7.What is your preferred contact method?
Program Information
8.ECE Program Name
9.What age group does your program serve? Choose all that apply.
10.How many children ages 0-5 yrs. are currently enrolled?
11.What type of site is your program?
Readiness to Engage
12.How ready are you to engage in technical assistance with Go NAPSACC?
13.Which Go NAPSACC module are you most interested in?
14.What type of assistance would your ECE program benefit from?
15.Which professional development training format would you prefer?
16.Would you like to receive emails about healthy eating and physical activity training and resources?
Share How You Connected with Us
17.How did you hear about this recognition program?
18.How do you typically learn about professional development opportunities? (select all that apply)