WeVision EarlyEd Solution ECE-Home Lab Site Application

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Please select your language.

Thank you for your interest in becoming a WeVision EarlyEd Solution ECE-Home Lab Site! Please complete this application thoughtfully and thoroughly. The information you provide in this application will be crucial in helping us select the 10 ECE-homes that best exemplify the WeVision EarlyEd vision and are ready to implement innovative solutions in their programs.

Basic Information

Let's start with some basic information to help us get to know you better.

First Name

Last Name

Street Address

Address Line 2

Country

City

State

Postal/Zip Code

Email Address

Confirm Email Address

Phone Number

If other, please specify.

Do you hold a Child Development Associate (CDA) credential?

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Program Information

Now, tell us a bit more about your ECE-home program and the children you serve.

Program Name

Licensing Information (License/Registration #)

Do you have a co-educator?

YesNo

Do you have an assistant?

YesNo

Number of Children Currently Enrolled

Licensing Capacity

Ages of Children Served

Infants (under the age of 1)Toddlers (1 to under the age of 3)Preschoolers (3 to under the age of 5)School-agers (5 to under the age of 12)

Years of Experience Providing ECE Services

Years of Experience Running a Home Based Family Child Care Program