FY 20 Expanding Professional Possibilities in Early Childhood-Program Application

Demographic Program Information

Question Title

* 1. Contact Information

Program Name

License Number

Address

Phone

Contact Person

Email

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* 2. Name, Position and contact e-mail for other key administrative staff who will support the success of this project

Name (first and last)

Position

Contact e-mail

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* 3. Name, Position and contact e-mail for other key administrative staff who will support the success of this project

Name (first and last)

Position

Contact e-mail

Question Title

* 4. What type of governing body does your program operate under?

Corporation

Board of directors (religious/non-profit/etc)

Owner (other than self)

Owner (self)

Other

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* 5. Is your governing body aware of this project, and if required, have they granted approval of participation?

Yes

Not Yet

Not Required

Question Title

* 6. # of Children Served

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* 7. Age Range of Children Served

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* 8. # of children receiving

CCAP subsidy

Other subsidy (sliding scale, scholarships, etc)

Question Title

* 9. # of staff working

in classrooms

administrative staff

other roles