Yes No If yes, name of that program: Date of signed service area agreement: Part day Full school day Extended day ECEAP Classroom #1 Proposed class start date: Number of children enrolled in the class: Number of children enrolled in the class: Number of classroom Will a classroom or site be closing as a result of this move? Yes No If yes, name and location of classroom or site that is closing: Does this site have an Early Achievers rating? Yes No If yes, what is the rating? Are you moving an existing classroom to a new site? Yes No If yes, where is it moving from? __________________________ Classroom #2 Proposed start date: in the class: Number of ECEAP children enrolled in the class: Number of Non-ECEAP children enrolled Number of classroom hours: ____________ Will a classroom be closing as a result of this move? Yes No If yes, name and location of classroom or site that is closing: Does this site have an Early Achievers rating? Yes No If yes, what is the rating? Are you moving an existing classroom to a new site? Yes No If yes, where is it moving from? __________________________ ECEAP Contract Provision or Performance Standard Met Not If not, describe your plan to Yet meet the requirement, including date of completion
Yes No If yes, name of that program: Date of signed service area agreement: Part day Full school day Extended day ECEAP Classroom #1 Proposed class start date: Number of children enrolled in the class: Number of children enrolled in the class: Number of classroom Will a classroom or site be closing as a result of this move? Yes No If yes, name and location of classroom or site that is closing: Does this site have an Early Achievers rating? Yes No If yes, what is the rating? Are you moving an existing classroom to a new site? Yes No If yes, where is it moving from? __________________________ Classroom #2 Proposed start date: Number of ECEAP children enrolled in the class: Number of Non-ECEAP children enrolled in the class: Number of classroom hours: ____________ Will a classroom be closing as a result of this move? Yes No If yes, name and location of classroom or site that is closing: Does this site have an Early Achievers rating? Yes No If yes, what is the rating? Are you moving an existing classroom to a new site? Yes No If yes, where is it moving from? __________________________ ECEAP Contract Provision or Performance Standard Met Not Yet If not, describe your plan to meet the requirement, including date of completion