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Regional Child Care Task Force Registration Form
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1.
Name
(Required.)
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2.
Title
(Required.)
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3.
Organization
(Required.)
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4.
Email
(Required.)
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5.
Phone
(Required.)
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6.
Organization Type (Select one)
(Required.)
Employer
School District
Child Care Provider
Economic Development Organization
Government
Health Care
Nonprofit
Other (please specify)
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7.
Which county do you represent?
(Required.)
Stark
Summit
Carroll
Tuscarawas
Wayne
Holmes
Columbiana
Portage
Other (please specify)
8.
What best describes your connection to the child care challenge? (Select all that apply)
Employer struggling to recruit or retain workers
Child care provider
School or early education leader
Economic development or workforce organization
Local or state government
Parent or caregiver
Funder or foundation
Other (please specify)
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9.
From your perspective, how is the child care crisis impacting your organization or community? (Short answer)
(Required.)
Expertise and Contributions
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10.
What assets or expertise can you contribute to this task force? (Select all that apply)
(Required.)
Data or research
Employer networks
Policy or regulatory expertise
Child care operations or licensing
Funding or grant experience
Facilities or real estate
Workforce or HR expertise
Communications or marketing
Lived experience as a parent or caregiver
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11.
Does your organization currently invest in or provide child care support?
(Required.)
Yes
No
If yes, please explain
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12.
What would you like to see come out of this task force? (Select up to three)
(Required.)
Employer-supported child care solutions
Increased child care capacity
Policy or regulatory changes
Financial support for providers
Data and needs assessment
Regional coordination
Public awareness
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13.
How often could you realistically participate?
(Required.)
Monthly
Every other month
Quarterly
As needed
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14.
How would you prefer to attend meetings?
(Required.)
In person
Virtual
Both
15.
Is there anyone else in your organization or network who should be invited?
16.
What do you believe is the biggest barrier to solving the child care crisis in our region?
