ECSC Updated Site Interest Form

ECSC Site Partner Interest Form

Interested in receiving assistance for your ECE site? Please continue to find out how we can support at your site.
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First Name *

Last Name *

Best email to reach you: *

Email will only be used for ECSC communication.

I am a:

Early Learning Site Director

Early Learning Site Employee

Early Learning Site Board Member

Person interested in Volunteering with ECSC

Other

Info Session Attendance

I have attended a live virtual info session

I have watched the replay of the info session

I have not attended an info session in any form

Name of Child Care Center, Home Provider or Preschool *

Address Line 1 *

City *

State/Province *

What county is your site located in? *

Site Zip/Postal Code *

Please tell us how many children your center, school or home is licensed for *

Family Child Care Home

Less than 10

10-60

More than 60

Please indicate which areas you would be interested in receiving support from one of our Service Corps Members

Classroom Volunteers

Encore Substitutes

Volunteer Business Advisor Support

If you are interested in our Volunteer Business Advisors, what categories would you like support from one of our Volunteer Business Advisors?

HR & Staff Management

Program Planning

Fiscal Management & Evaluation

Community & Family Engagement

If you were referred to us by an Early Childhood Center or Preschool, please let us know which one sent you our way!

I agree by checking the YES box to be included on Early Childhood Service Corps Email Communication, and that I may unsubscribe at any time. I understand that my data will be used by ECSC exclusively for program purposes and will not be shared with any other entity without explicit consent from myself (the information holder)

Yes

Data Privacy & Consent

Yes, I would like to receive communications from Early Childhood Service Corps by email.

Yes, I would like to receive communications from Early Childhood Service Corps by phone.

Your data is used solely for the purpose of participation in our program and its services. Data will not be shared to any outside parties not involved in the organizational operations without your explicit permission.

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