Child Care Consultation Question Title * 1. Contact info Name Company Address Address 2 City/Town State/Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code Country Email Address Phone Number Question Title * 2. Title Question Title * 3. Mark all that apply to your program it is for profit it is non-profit it is privately owned it is government or agency owned it is a family child care it is a small group childcare it is a franchise it has multiple locations wanting to start a family child care wanting to start a child care center Other (please specify) Question Title * 4. Have you ever had the services of a coach, mentor, consultant or technical assistant? Yes No Question Title * 5. What ages does/will your program serve? infant toddler preschool prek kindergarten early elementary out of school/after school Question Title * 6. How many children will/does your program enroll? None yet less than 10 10-25 26-50 51-100 More than 100 Question Title * 7. Do you have more than one center/location? Yes No Question Title * 8. What is your time line for services? Within two weeks Within a month 4-6 weeks 3 months or more Other (please specify) Question Title * 9. What forms would like for us to customize for you? $50-$150- based on complexity State regulation checklist Staff interview Questions Job Descriptions Family enrollment and contract Staff Handbook Newsletter Weekly Theme Base Chart Themed Curriculum Units Professional Development Record Staff Evaluation Staff Scheduler Matrix Child File Checklist Staff File Checklist Daily Schedule Child Observation Form Orientation Checklist Ratio Forms Market Survey/Needs Analysis Competitor Analysis Other (please specify) Question Title * 10. Mark all services desired-$85 an hr Environment setup- Review current set or plan a new space. We will review regulations and your needs to help design a floor plan and equipment/materials list Behavioral Analysis-review video, anecdotal records and observations and offer input for solutions New Staff- We will review your processes and help you set up an effective on-boarding and orientation process. Marketing- Develop a plan for increasing enrollment, handling competition, improving your online presence Curriculum Design- Creative curriculum planning by theme, competency, or project approach Question Title * 11. Tell us more about what you need Next
