JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
KECSAC Annual Census December 1, 2023
Program and Student Detail
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Date Completed
*
MM
/
DD
/
YYYY
District Name
*
Choose
Adair County
Beechwood Independent
Bowling Green Independent
Boyle County
Breathitt County
Bullitt County
Calloway County
Campbell County
Christian County
Clark County
Clinton County
Corbin Independent
Danville Independent
Daviess County
Elizabethtown Independent
Fayette County
Franklin County
Graves County
Hardin County
Hopkins County
Jackson County
Jefferson County
Jessamine County
Kenton County
Knox County
LaRue County
Laurel County
Madison County
Marshall County
McCracken County
Menifee County
Mercer County
Middlesboro Independent
Montgomery County
Morgan County
Nelson County
Newport Independent
Ohio County
Pike County
Pulaski County
Raceland-Worthington Independent
Rowan County
Shelby County
Todd County
Warren County
Wayne County
Wolfe County
KECSAC Program Name with School Number (if applicable)
*
Your answer
Contact Name
*
Your answer
Email Address
*
Your answer
What is the licensed or rated capacity of the Program?
*
Your answer
Average Length of Stay
*
Based on all calendar days.
Your answer
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of KECSAC.
Report Abuse
Forms
