1.First & Last Name

2.Mailing Address (Include City, State, and Zip)

3.Phone Number

4.Email Address

5.County you will provide care in? If you are looking to provider care outside of the below areas, you will need to contact your local CCR&R. You can find that information here: https://thrivingwi.org/child-care-resource-referral-network/

Adams

Clark

Langlade

Lincoln

Marathon

Marquette

Portage

Taylor

Waushara

Wood

6.Do you want the packet emailed or mailed to you?

Emailed

Mailed

7.What type ofcare are you interested in providing?

Certified Family Child Care (1-3 children, under age 7) https://dcf.wisconsin.gov/cccertification

Licensed Family Child Care (4-8 children, under age 7) https://dcf.wisconsin.gov/cclicensing

Group Child Care (9 or more children outside of home) https://dcf.wisconsin.gov/cclicensing

Unknown at this time

8.Comments/Question