Great Start Readiness Required Forms - Classrooms Classroom Information Question Title * Information Subrecipient Name Site Name Classroom Name Question Title * Subrecipient Program Option Full Day Half Day GSRP/Head Start Blend Question Title * Number of GSRP children enrolled AM PM School Day GSRP/HS Blend Question Title * Third Person in Classroom (complete if over 16 children are enrolled) AM PM School Day GSRP/HS Blend Question Title * Number of Classroom Days Per Week AM PM School Day GSRP/HS Blend Question Title * Beginning/End Time for GSRP Beginning Time End Time Question Title * Classroom Setting Childcare Center Elementary School Church Other (please specify) Question Title * Early Childhood Specialist Question Title * Lead Teacher Name Question Title * Lead Teacher Credentials Valid MI Teaching Certificate with ZA/ZS Bachelor's Degree in Early Childhood or Child Development with Specialization in Preschool Training Within 1 to 2 classes of completing (BA or MA) degree in Early Childhood Education. With RESA approved compliance plan on file Question Title * Lead Teacher Date of Hire in GSRP Question Title * If no Lead Teacher, please explain Question Title * Associate Teacher Name Question Title * Associate Teacher Credentials AA or higher in Early Childhood Education/Child Development Valid Child Development Associate Credential (CDA) 120 Hour Approval Letter from MDE on File with Wayne RESA Meets Minimal Qualifications for Hire (Completed at Least One Course in Early Childhood Education/Child Development-that earns college credit) Question Title * RESA Approved Compliance Plan on File Yes No Question Title * College/University/CDA Prep Program Name Question Title * Associate Teacher Date of Hire in GSRP Question Title * If no Associate Teacher, please explain Question Title * Third Person Name Question Title * Third person credentials meets the Bureau of Children and Adult Licensing: Department of Human Services licensing requirement as a "caregiver". Yes No Question Title * Third Person Date of Hire in GSRP Question Title * If no Third Person and single classroom enrollment is over 16, please explain Question Title * Information Provided By Name Title Date Done