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| Demographic Information |
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| 1. |
Race |
(Select one or more categories listed based on U.S. Census categories) |
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(Enrolled or principal tribe
Specify Other Race) |
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| 2. |
Gender |
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| 3. |
Fluent in English |
Yes No |
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| 4. |
Fluent in Spanish |
Yes No |
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| 5. |
Fluent in other Languages |
Yes No |
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(Specify) |
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| 6. |
Years of child care experience or year started working in the field |
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| 7. |
Education |
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(Specify Other) |
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| 8. |
Age |
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| 9. |
How would you best describe the area in which you live?
Urban Suburban Rural |
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| 10. |
Income |
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| 11. |
Birthday |
Day Month Year |
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| 12. |
Get involved as an NAFCC member! Would you be interested in serving on any of the following NAFCC Committees? (Check all that apply) |
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Accreditation
Association Leadership
Black Caucus
Communications
Conference
Fund Development
Latino Caucus
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Membership
Newsletter
Nominations
Professional Development
Provider Appreciation
Public Policy
Research
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Continue with Application  |
