Application of INTEREST 14 - 15 ECWP End of Year Forms End of Year Program Application (FCC) 14-15 End of Year Program Application (Center) 14-15 ECWP Enrollment Forms W-9 Program Application (FCC) 14-15 Program Application (Center) 14-15 Participant Expectations 14-15 KDHE Licensing Verification 14-15 Application of INTEREST 14-15 Agreement to Participate 14-15 ECWP ERS Forms ERS Overall Scores 14-15 ECWP Grant Forms & Resources W-9 Grant ERS Page (ITERS-R) Grant Information & Instructions 14-15 Grant Budget Summary Report 14-15 Grant Budget Addendum 14-15 Grant Application 14-15 ECWP NAP SACC Forms & Resources Go NAP SACC Screen Time Go NAP SACC Outdoor Play & Learning Go NAP SACC Infant & Child Physical Activity Go NAP SACC Child Nutrition Go NAP SACC Breastfeeding & Infant Feeding ECWP Orientation Forms & Resources Orientation Report & Sign-In 14-15 Individual Orientation Documentation 14-15 Orientation PDE Orientation Orientation - Trainer Instructions Orientation Certificate 14-15 Orientation Approval Letter Facility Name * Provider or Director Name * Address * City * Country * Zip Code * Phone Number Email Address * Current Hours of Operation Number of Years Providing Care Range of Ages Currently Served Check all that apply: I currently (or will) contract with DCF (formerly SRS) to provide subsidized care. I am currently licensed by KDHE. I operate a full day, full year program. I have a working computer and internet. I support and want to work on the project goals: Improve child care quality through monthly on-site technical assistance visits. Enhance health, safety, physical activity and nutrition practices. Increase my knowledge & skills through professional development. Increase communication and support with my families. Explain why you are interested in participating in the Early Childhood Wellness Project: Signature * If you are human, leave this field blank.