Missouri Activity and Nutrition-Child Care (DHSS NAP SACC) 2024-25 Application (2024.04)

Program Information

Please tell us a little about your program.

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* 1. Name of Program

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* 2. Program is a _______________________?

Child Care Center

Group Home

Family Child Care

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* 3. Is your program licensed or licensed-exempt?

Licensed

Licensed-exempt

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* 4. Please provide your DVN number (DHSS Licensing) .

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* 5. What is your street address?

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* 6. City

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* 7. Zip Code

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* 8. County