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Next Level Provider Collaborative Application
Complete this form to join the staffed family child care network at Family Enrichment Network.
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Provider First and Last Name
Your answer
Child Care Program Name
Your answer
OCFS Facility ID#
Your answer
Program County
Broome
Chenango
Tioga
Clear selection
Program Street Address
Your answer
Program City
Your answer
Program Zip Code
Your answer
Email Address:
Your answer
Phone Number
Your answer
Do you currently accept payments from the Child Care Assistance Program through the local DSS?
Yes
No
Clear selection
Do you participate in the Child and Adult Care Food Program (CACFP)?
Yes
No
Clear selection
Select any technology you have access to on a daily basis:
computer/laptop
tablet
smart phone
other
none
Clear selection
Do you have internet at home?
Yes
No
Maybe
Clear selection
Which of the following do you use in your child care business? Please select all that apply.
Budget
Accounting Software
Accountant
Recordkeeper
Child Care Management Software
None
Other
Outside of your operating hours, how many hours per week are you spending on business or administrative tasks?
Your answer
What are the two best things about operating your own business?
Your answer
What are your biggest challenges for operating your own business?
Your answer
What do you hope to get out of the Next Level Provider Collaborative?
Your answer
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