1. Information Updates

In order for the YWCA to offer quality services to our clients we need to ensure that our database is updated frequently. Please assist us in updating your information in our database.

* 1. Please answer the following questions about your program.

* 2. Please choose your type of care.

* 3. Is your program licensed by DCFS? (If YES continue to question 4. If NO, continue to question 5)

* 4. If you answered YES to the previous question. Please complete the following information.

* 5. What school district is your program located in?

* 6. List any elementary schools near your program.

* 7. Please answer the following questions about your program. Please check all that apply.

* 8. List any languages that you or your staff are fluent in. Check all that apply.

* 9. Please answer the following questions about transporation to/from your program.

  Yes No
I provide transportation To/From School
I provide transportation To/From Activity
I provide transportation To/From Home
I provide transportation To/From Preschool
I provide transportation To/From Other
I will consider providing transportation on a case by case basis
My program is near public transportation
My program is within walking distance of a school

* 10. What are the age ranges you are willing to accept?

T