JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
FCC ECEAP Lead Teacher Questionnaire
All the information needed to register your site for ECEAP subcontract through Yes! for Early Success
* Indicates required question
Email
*
Your email
Name as it appears on your childcare license
*
Your answer
Provider ID #
*
Your answer
Physical Childcare Address
*
Your answer
Please list your Early Achievers Coach (name, email and phone number)
*
Your answer
Please list your Licensor (name, email and phone number)
*
Your answer
Lead Teacher Name
*
Your answer
Lead Teacher STARS ID #
*
Your answer
Lead Teacher Highest Education
*
High School Diploma
Associates in ECE
Initial ECE Certificate
Short Stack ECE Certificate
Bachelors in ECE
Masters in ECE
Other:
How many 4 year olds receiving subsidy are enrolled in your program?
*
1
2
3
4 or more
How many 3 year olds receiving subsidy are enrolled in your program
*
1
2
3
4 or more
Additional Languages spoken by lead teachers? Select all that apply
Ahmeric
Arabic
Chinese (Mandarin)
Russian
Spanish
Somalian
Ukranian
Vietnamese
Other:
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
