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* 1. Name of educator (first and last)

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* 2. Site name (name of preschool)

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* 3. Address of site 

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* 4. Best address for packages

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* 5. Site type

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* 6. Your classroom setting

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* 7. Quality First status

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* 8. Email address

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* 9. Cell phone number

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* 10. Preferred method of contact

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* 11. How did you learn about enrollment in Make Way for Books?

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* 12. Language preference

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* 13. Teacher type

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* 14. AZ Workforce Registry Number

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* 15. Date you started working in early childhood field (mm/dd/yyyy)

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* 16. Date  you started working at current site (mm/dd/yyyy)

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* 17. Race/ethnicity

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* 18. What is the highest level of school you have completed?

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* 19. Do you, the teacher, grant Make Way for Books permission to publish photographs and videos of you in print, social media, and/or video-based materials?

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