Each child enrolled in your center must be classified as:

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* 1. Each child enrolled in your center must be classified as:

If there is NOT an IEA (income eligibility application) form on file for the family, all children from that family will be reimbursed at what rate?

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* 3. If there is NOT an IEA (income eligibility application) form on file for the family, all children from that family will be reimbursed at what rate?

What part of the IEA Application does not need to be completed?

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* 4. What part of the IEA Application does not need to be completed?

What is your name?

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* 5. What is your name?

Where do you work?

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* 6. Where do you work?

What is your job title?

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* 7. What is your job title?

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