Tell Us About Yourself

Hello! Thank you for taking the time to complete this survey. Understanding your needs will help Jefferson-Lewis Childcare Project plan future training and technical assistance that will benefit you and other child care providers.

We have asked that you include your name and contact information in this survey so that we may address any individual interests or questions that you may have. Your responses will be collected and reviewed by JLCP staff and are used for planning, evaluation and delivery of training and technical assistance services.

We greatly appreciate your willingness to share your thoughts with us!

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* 1. Name

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* 2. Program Name

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* 3. Phone Number

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* 4. Email Address

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* 5. Would you like to receive email updates and news from us?

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* 6. Modality

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