Go NAPSACC Survey
1.
What is your role in your organization?
Director/Owner
Teacher
Teacher Assistant
Support Staff
TA Partner
Other (please specify)
*
2.
Which of the following best describes the type of your early care and education program?
(Required.)
Center Licensed
Center Exempt
Home Licensed
Home Exempt
Registered Ministry
School Age
Head Start
Not an early care and education program
Other (please specify)
*
3.
What is your program name?
(Required.)
4.
How long have you worked in the early education and care industry?
Less than 1 year
1 to 5 years
6 to 10 years
More than 10 years
*
5.
Please select your county
(Required.)
Adams
Allen
Bartholomew
Benton
Blackford
Boone
Brown
Carroll
Cass
Clark
Clay
Clinton
Crawford
Daviess
Dearborn
Decatur
De Kalb
Delaware
Dubois
Elkhart
Fayette
Floyd
Fountain
Franklin
Fulton
Gibson
Grant
Greene
Hamilton
Hancock
Harrison
Hendricks
Henry
Howard
Huntington
Jackson
Jasper
Jay
Jefferson
Jennings
Johnson
Knox
Kosciusko
La Porte
Lagrange
Lake
Lawrence
Madison
Marion
Marshall
Martin
Miami
Monroe
Montgomery
Morgan
Newton
Noble
Ohio
Orange
Owen
Parke
Perry
Pike
Porter
Posey
Pulaski
Putnam
Randolph
Ripley
Rush
St. Joseph
Scott
Shelby
Spencer
Starke
Steuben
Sullivan
Switzerland
Tippecanoe
Tipton
Union
Vanderburgh
Vermillion
Vigo
Wabash
Warren
Warrick
Washington
Wayne
Wells
White
Whitley
6.
What is your First name?
7.
What is your Last name?
8.
What is the Director's name (if not person filling out the survey)?
9.
What is the Director's email (if not person filling out the survey)?
*
10.
Please select all that apply. My program is interested in joining:
(Required.)
Go NAPSACC
Current Progress,
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