Technical Assistance Request Question Title * 1. Please complete the following. Name: * Company: * Address: * Address 2: City/Town: * State: * -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP: * Email Address: * Phone Number: * Question Title * 2. Please tell us how you view technical assistance for your early learning program. As your partner in educating our young children, we want to work with you side by side helping you in any way that we can to improve instructional practices in your program and increase positive interactions. As we move forward, we want your feedback and insight, so that we can plan accordingly, efficiently and prioritize your needs as one of ELCFG's early learning partners. Question Title * 3. Will you seek technical assistance from ELCFG in the 2014-2015 school year? Yes No Not Sure Question Title * 4. If so, what type of technical assistance do you think you might seek from ELCFG? How to implement the early learning standards into classroom instruction. How to effectively instruct in an inclusive classroom. How to run my business effectively and make sure that proper business practices are in place. How to build relationships with children and teachers and strengthen the interactions in the classroom. How to set up learning centers in the classroom that promote learning through play and are conducive for effective learning. How to set up my outdoor environments, so that they promote learning and not just free play. How to manage classroom practices such as routines, transitions, and positive discipline. How to organize my classroom with lesson planning, improving productivity and space planning. How to get parents involved and setting up parent communication areas in my classroom. Other (please specify) Question Title * 5. How often would you request technical assistance? Once a month Once every two months Once a quarter Once a year Not at all Done
