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FCC Shared Services Alliance Interest Form
*
1.
Name
(Required.)
*
2.
Name of your Business
(Required.)
*
3.
Email address
(Required.)
*
4.
Phone number
(Required.)
*
5.
Physical address
(Required.)
6.
Mailing Address (if different from above)
*
7.
Ages Served (select all that apply)
(Required.)
Infants 0 - 18 months
Toddlers 19 - 30 months
Preschoolers 2 1/2 - 5 years
Schoolagers
*
8.
Hours of Operation
(Required.)
*
9.
What services are you most interested in? (check all that apply)
(Required.)
Joint Purchasing
Marketing Support
Professional Development
Budgeting
Health and Wellness
Bookkeeping, Billing, Fee Collection
Technology
Human Resources
Other (please specify)
Other (please specify)
*
10.
Are you able / willing to commit to attend Monthly Alliance meetings (virtual) and share your ideas, experiences and knowledge for the benefit of the Alliance?
(Required.)
Yes
No