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Rural Early Learning Facility Improvement Project Application

Completing this application does not guarantee you will be invited to participate in this grant opportunity.
Which county is your program located in? *
Does your program provide full-day, full-year child care services? Full-day, full-year services are defined as at least 6 hours per day, five days per week, minus planned closures for major holidays, etc. *
Do you currently provide or are you willing to care for children on subsidy (Employment-Related Day Care, ERDC) and children with special needs? *
Mailing address (If selected to receive grant funds, the address your check will be mailed to must match the WOU Substitute W-9.)
Physical address (if different)
Preferred method of contact *
How long have you been providing child care at your current location? *
Does the State of Oregon license you to provide child care? *
Do you or the program own the property where your program is located (not leased or rented)? *
What languages do you speak with the children and families in your program? (Check all that apply) *
Tell us about your project?
What would happen in your program if your project was funded and completed? (Check all that apply) *
What type of facility improvement project are you considering (Projects that are not construction or major/minor renovation will not be accepted)? *

Do you have a relationship with staff from the field of early care and education to support you in your project development? *
I verify that the information submitted is accurate to the best of my knowledge. I understand that information submitted in the application may be verified and discussed with local CCR&R, Hub, Inclusive Partners staff, or Office of Child Care Licensing Specialists. *
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