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The Early Childhood Educator Coalition: Power to the Profession!
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1.
Tell us about yourself!
(Required.)
Name
Employer
Professional Role
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2.
Ethnicity (this will assist us in outreach to under-represented groups)
(Required.)
African American/Black
Asian/Pacific Islander
Hispanic/Latino
Native American or Alaskan Native
Multiracial or Biracial
White/Caucasian
Other
Prefer not to answer
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3.
Contact Information
(Required.)
Address
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Address Line 2
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City/Town
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State/Province
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ZIP/Postal Code
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County of Residence
Email Address
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Cell Phone Number
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4.
What Best Describes Your Employment Setting
(Required.)
Child Care Center
Public Preschool
Private Preschool
Preschool Special Education
Public School K-3
Head Start/Early Head Start
Family Child Care
Higher Education
Resource and Referral
State Agency
Early Intervention/Help Me Grow
Social Service Agency
Other (please specify)
Current Progress,
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