Coaching Request for Silver/Gold Providers
Cincinnati Preschool Promise is offering a limited amount of coaching and professional development support to our approved Tuition Assistance Providers to assist with maintaining high quality and continuous improvement. If you are interested, please complete the form below. You will receive a confirmation notice upon the team review. If you have any questions, contact Cincinnati Preschool Promise Director of Quality Education, Brittnii Pina at bpina@cincy-promise.org.
Name of Person Completing Request:
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First Name
Last Name
Title/Position of Person Completing Request:
*
Email Address of Person Completing This Request:
*
example@example.com
Best Phone Number of Person Completing Request:
*
Please enter a valid phone number.
Is this an initial request for coaching or an extension beyond the allotted 12 months?
*
Please Select
Initial Request
Extension
Name of Child Care (as listed of State License):
*
Child Care License Number (as listed of State License):
*
Program Type:
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Please Select
Type A
Type B
Center
Preschool
Type B FCC - Do you have at least 1 CPP Tuition Assistance Child Enrolled in Your Program?:
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Yes
No
Type A FCC - Do you have at least 2 CPP Tuition Assistance Children Enrolled in Your Program?:
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Yes
No
Child Care Center/Preschool - Do you have at least 5 CPP Tuition Assistance Children Enrolled in Your Program?
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Yes
No
Preferred Method of Communication:
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Email
Mail
Phone
Unfortunately, your child care program is currently not eligible for coaching support at this time due to an insufficient number of CPP Tuition Assistance preschool enrollment.
Once you have enrolled the minimum number of preschool children into CPP Tuition Assistance, you may resubmit another request for consideration. FCC Type B: 1 FCC Type A: 2 Center/Preschool: 5
How Many Preschool Classrooms Do You Have?:
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Please Select
1
2
3
4
5
6
7
8
9
10
How Many Preschoolers Do You Have in Your Child Care Program?:
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How Many Open/Vacant Seats Are Available?:
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Tell Us How CPP Can Help:
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Why Is Your Program Requesting CPP Coaching Support?: (Why you need support - Check all that apply).
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Licensing Non-Compliance
SUTQ Support
Teacher/Classroom Support
New Teacher/Teacher Transition
Specify any additional CPP support needed: (Tell us why your program needs help. In order to be considered for the following support, your program must participate in the coaching process. Check all that apply)
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CDA Assessment
CDA Course
CDA Renewal
Coaching Only
Training/Workshop
Other
If Selected "Other", please explain:
Coaching Focus Area: (What SUTQ standard(s) does your program need coaching support in? Check all that apply)
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Curriculum and Planning
Child Screening and Assessment
Interactions and Environment
Program Administration
Staff Management
Staff Education
Professional Development
Transitions
Communication and Engagement
Other
If Selected "Other", please explain:
Did Your Program Receive Any Non-Compliances on Licensing Inspections Over the Past 12 Months?
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Yes
No
Please Report All Non-Compliances Listed on Licensing Inspections Over the Past 12 Months (please ensure all sections below are completed):
Have You, or Are You Currently Working With a Coaching Agency? (If yes, which agency and who was your coach?)
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Would You Like to Work With the Same Coaching Agency?
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Yes
No
Any Coaching Agency is fine
N/A
Would You Like to Work With the Same Coach?
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Yes
No
Any coach is fine
N/A
Please provide details about your previous coaching experience. If you have not received coaching in the past, N/A is acceptable.
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What is the primary child assessment tool your preschool program use and how frequently does your program assess children with this tool within a program year? (Please ensure all sections below are completed)
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What is the primary curriculum your preschool program uses? How satisfied are you with this curriculum?
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Please Detail Why You Are Dissatisfied With the Current Curriculum Choice:
Comments:
Submit
Should be Empty: