* Required

What ages of children do you enroll in your program? (Ex: 1 month to 12 years)

(check all that apply)​​​​​​
(check as many as apply)​​​
This number is on your EEC license. Not more than __ children.​​

How many full time openings? (Monday-Friday, full days)
Note: Total FT openings should not exceed your licensed capacity minus your current FT children in care unless you operate multiple child care shifts.

How many part time openings?

*if you have a Family Child Care Plus license

What are your full time rates? (Please indicate per week, per day, or per hour)

*if you have a Family Child Care Plus license​

What are your part time rates? (leave blank if you do not provide part time care)

*if you have a Family Child Care Plus license​
(for more information on becoming a voucher provider, contact the Child Care Circuit at info@childcarecircuit.org)​​

Please be aware that Child Care Circuit will only be conducting regular updates via e-mail. This is also how we send out information on available Trainings being offered.


The following information is for statistical purposes only and will not be shared with parents. They are part of an ongoing effort to collect data on the need for affordable health care for independent family child care providers