Project Include: Early Childhood Access through Adaptive Technology Interest Form
Project Include, a program to promote inclusive learning environments for all Colorado licensed child care centers and homes, is implemented by the Center for Inclusive Design and Engineering, through stimulus funding from the Department of Early Childhood. Complete this application if you are interested in borrowing free adaptive materials kits, accessing instructional videos, and receiving support to be better prepared to include children with delays and disabilities in your child care. After submitting this form, you will receive a follow up email and we will work with you to determine which supports will best meet your needs. Learn more at: https://www.ucdenver.edu/centers/center-for-inclusive-design-and-engineering/community-engagement/project-include
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Child care name: *
Family child care home provider or center director name: *
First name of person completing this form: *
Last name of person completing this form: *
Role or position: *
Email address: *
Phone number: *
Secondary contact first and last name: *
If you are a home program, please list someone that could be contacted in your absence.
Secondary contact's role, position, or relationship to you: *
Secondary contact email address: *
Secondary contact phone number: *
Colorado child care license number: *
Program street address: *
Unit number or P.O. box (if applicable):
City: *
State: *
Zip code: *
County: *
QRIS/Colorado Shines rating: *
Type of child care setting: *
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