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* Organization Name
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* Program or Initiative Name
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* Your Name
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* Your role within the organization
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* Your email address
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* How long has your organization been serving the community?
* What best describes your program? Select all that apply
* What is your program's intended outcome? (Example: improve parent-child interactions; improve children’s vocabulary, phonics and word recognition, and fluency; distribute X number books to X number children and families, etc.).
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* What early literacy skills does your program promote?
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* What is your program setting? Select all that apply
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* What is your program's target population? Select all that apply
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* How are participants selected to receive service? Select all that apply
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* Do participants pay to participate in your program?
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* How many CHILDREN are served by your program annually?
* How many ADULTS are served by your program annually?
* On average, how often do you provide services or meet with the participants?
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* On average, what is the typical length of time you spend with participants during each meeting or event?
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* What zip codes or areas does your program serve?
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* What address(s) or area(s) do your program services or activities occur?
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* What ages are served in your program? Select all that apply
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* Is your program:
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