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* 1. Name of person completing this survey:

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* 2. Title:

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* 3. Organization:

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* 4. Phone:

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* 5. Are you considering a MAJOR renovation to existing space or construction of a new space? Major projects include such tasks as purchase of a site, design and construction of a new building or a new wing, renovation of 3 or more classrooms, including lighting, HVAC, plumbing, etc. Generally, costs exceed $250,000. (If you are not considering a major project, please move to question #17.)

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* 6. How would you categorize your MAJOR project?

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* 7. What are the facility problems you hope to address with your proposed MAJOR facility project? Please provide a brief description of how you plan to address these problems.

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* 8. What is your tax status?

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* 9. What percentage of the population you serve in your ECE or OST program is low income (as defined by eligibility for MA Dept. of Early Care and Education subsidies)?

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* 10. Do you operate in one site or more than one site?

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* 11. How many children do you expect to serve at your renovated or new site? (Please estimate if exact numbers are not available.)

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* 12. When do you plan to start this project?

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* 13. If you have started, where are you in the process?

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* 14. Please list the address of your proposed capital project.

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* 15. Do you own or lease the site of your proposed capital project?

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* 16. If you lease, how long is your current lease?

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* 17. Children's Investment Fund provides training, technical assistance, and flexible loan financing for non-profit providers considering facility improvement and/or expansion projects. Please check if you would like more information on our services.

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* 18. Please check if you are interested in attending either or both of the training programs listed below.

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* 19. Other information you would like to share with us?

Thank you for participating in this survey.

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