Thank you for expressing interest in the Florida's HEROs ECE Recognition program. We are excited that you are ready to join us in our fight to prevent obesity by promoting best practices in your child care center. Our 2018-2019 application cycle has recently closed, but please complete this interest form to be notified when the 2019-2020 cycle opens. If you have any questions, please contact us at info@FLeceaward.org. We appreciate your commitment to creating a healthy environment for the children you serve.

By entering my personal information, I consent to receive email communications from the survey author's organization based on the information collected.

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* 1. First Name

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* 2. Last Name

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* 3. Title

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* 4. Center/ Organization Name

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* 5. Work Phone

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* 6. Email Address

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* 7. Mailing Address

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* 8. City, State, ZIP Code

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* 9. What type of site is your center?

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* 10. What age group does your center serve?

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* 11. What type of technical assistance related to childhood obesity prevention would your center benefit from the most?

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* 12. How did you hear about this recognition program?

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