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1. Applicant Information

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3. Phone Number

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4. What is your gender identity?

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5. Which race or ethnicity best describes you?

Section 1. Preschool Business Information

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6. Preschool's Mission Statement:

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7. # of Preschool Locations (include Cities, Counties):

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8. Years in Operation (This question refers to the number of years your business has been operating):

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9. Is your Preschool Business a For-Profit or Not for Profit?

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10. To help us understand your organization's financial scale and health, please provide your current annual operating budget.

Section 2. Preschool Enrollment and Demographics

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11. Total number of 0-5 y.o. children served directly by your preschool business.

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12. Child Race/Ethnicity. From the total number above, please provide # of children in each of the following categories. Note: The sum of all answers should equal the total number of children above.

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13. Please list the # of children in each of the following age groups:

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14. Child Specific Needs & Characteristics. Number of children:

Section 2. Program Capacity and Workforce

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15. Please provide current numbers for your organization (it can include multiple sites)

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16. How many total seats in each category do you have currently have at your preschool ?

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17. Local Government Funding

Section 3. Goals & Program Alignment

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18. We'd love to hear in your own words what you hope to gain from participating in this program. Please share with us your goals for operational and leadership development.

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19. In one sentence please specify your specific expansion goal (examples include: opening an additional in home preschool, transitioning from in-home to a center etc..):

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20. What is your anticipated or desired timeline for this expansion?

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21. Do you currently have a Business Plan?

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22. Are you available to attend bi-weekly workshops held on Saturdays between August 15 and November 21?

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